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Fetal Decelerations: What Is It, Causes, and More | Osmosis
https://www.osmosis.org/answers/fetal-decelerations
Fetal decelerations refer to temporary but distinct decreases of the fetal heart rate (FHR) identified during electronic fetal heart monitoring. Electronic fetal monitoring is used to record the heartbeat of the fetus and the contractions of the mother’s uterus before and during labor. FHR baseline usually ranges from 120-160 beats per minute ...
Variable Decelerations - StatPearls - NCBI Bookshelf
https://www.ncbi.nlm.nih.gov/books/NBK546627/
Electronic fetal monitoring is widely utilized intrapartum to assess fetal status, to prevent adverse neonatal outcomes such as fetal asphyxia or cerebral palsy. Unfortunately, there is high intraobserver and interobserver variability when interpreting fetal heart rate tracings. In one study, obstetricians interpreted fetal heart rate tracings similarly in only 29% of cases.[2]
Late Decelerations - StatPearls - NCBI Bookshelf
https://www.ncbi.nlm.nih.gov/books/NBK539820/
Late decelerations are one of the precarious decelerations among the three types of fetal heart rate decelerations during labor. They are caused by decreased blood flow to the placenta and can signify an impending fetal acidemia. Late decelerations are defined as a visually apparent, gradual decrease in the fetal heart rate typically following ...
Variable Decelerations: How to interpret them and what …
https://medicine.utah.edu/obgyn/postgraduate-course/docs/esplin.pdf
Definition of Variable Decelerations • Visually apparent abrupt decrease • Onset of deceleration to low point >30 seconds in the fetal heart rate below baseline • at least > 15 beats lasting between 15 seconds to 2 minutes. • The timing of onset and return to baseline in relation to the contraction is variable • Timing with respect to contractions is also variable
Late Decelerations: What They Mean and How to Manage …
https://flo.health/pregnancy/giving-birth/labor-and-delivery/late-decelerations
Believed to be an abnormal FHR pattern, late decelerations indicate a reduction in heart rate, usually after a uterine contraction. Once deceleration starts, it takes about 20 to 30 seconds to reach its lowest point. When the timing of deceleration is delayed, it means that the lowest point is occurring past the peak of your uterine contraction.
Deceleration During Labor: Types, Causes, and Risks
https://www.verywellhealth.com/deceleration-during-labor-types-causes-and-risks-5191051
Late deceleration is a gradual decrease in fetal heart rate after a uterine contraction. It is caused by a decrease in placental blood flow. 2. Late decelerations may indicate that a fetus has high levels of acid in the blood (a condition called impending fetal academia), which is often caused by a lack of oxygen. 1.
Fetal Heart Tracings M3 Clerkship Orientation
http://www.stritch.luc.edu/lumen/MedEd/obgyne/lectures/Fetal_Heart_Rate_Interpretation_2016.pdf
DECELERATIONS – FETAL HEAD COMPRESSION-Typically mirror the contraction-30 seconds or more from onset to nadir. EARLY DECELERATION Gradual onset (onset to nadir > 30 sec) The nadir of the decel occurs at the same time as the peak of the contraction Occurs due to vagal (parasympathetic) stimulation of the fetal head during contractions Not correlated with …
Intrapartum Fetal Heart Rate Monitoring - Perinatology.com
http://www.perinatology.com/Fetal%20Monitoring/Intrapartum%20Monitoring.htm
The fetal heart rate tracing shows EITHER of the following: Sinusoidal pattern OR absent variability with recurrent late decelerations , recurrent variable decelerations, or bradycardia. Predictive of abnormal fetal-acid base status at the time of observation. Depending on the clinical situation, efforts to expeditiously resolve the underlying cause of the abnormal fetal heart rate …
Basic Pattern Recognition – Electronic Fetal Monitoring
https://www.ob-efm.com/efm-basics/basic-pattern-recognition/
Early decelerations correspond, temporally, to the contraction and therefore exist only as a periodic change. Early decelerations are a benign finding caused by a vasovagal response as a result of fetal head compression by the contraction. Pressure on the fetal skull alters the cerebral blood flow and this in turn stimulates the vagus nerve ...
Interpretation of the Electronic Fetal Heart Rate During …
https://www.aafp.org/afp/1999/0501/p2487.html
Interpretation of the FHR variability from an external tracing appears to be more reliable when a second-generation fetal monitor is used than when a first-generation monitor is used.3 Loss of ...
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