fetal distress

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nonreassuring fetal status

abnormal fetal heart rate or rhythm on electronic monitoring, suggesting fetal ischemia.
Synonym(s): fetal distress

fetal distress

a compromised condition of the fetus, usually discovered during labor, characterized by a markedly abnormal rate or rhythm of myocardial contraction. Some patterns, such as late decelerations of the fetal heart rate seen on records of electronic fetal monitoring, are indicative of fetal distress. If possible, the cause of the situation is identified and corrected and the acid-base balance of the fetal blood is tested. Labor is allowed to continue if the pH is within normal range and if the abnormal pattern does not recur or persist. Cesarean section may be necessary if the fetus is markedly alkalotic or acidotic or if the cause of the problem cannot be corrected. If possible, the condition of the baby is stabilized before delivery by giving the mother oxygen; increased fluids; or a narcotic antagonist, a vasopressor, or an agent to relax the uterus. A pediatrician or neonatologist is required to attend the birth of a distressed baby to manage resuscitation and care immediately after delivery.

fetal distress

A nonspecific clinical diagnosis indicating pathology in the fetus. The distress, which may be due to lack of oxygen, is judged by fetal heart rate or biochemical changes in the amniotic fluid or fetal blood.
See also: distress

fetal distress

Observable changes in the fetus during pregnancy or, more often, labour, caused mainly by an insufficient oxygen supply via the placenta. The signs are a sustained rise in the heart rate to above 160/min, slowing of the fetal heart rate after each contraction of the womb, persistent slowness below 120/min, heart irregularity and contraction of the fetal bowel with the passage into the uterine fluid of greenish stools (meconium). These signs do not necessarily indicate lack of oxygen and fetal distress is difficult to evaluate. Fetal blood sampling, through an ENDOSCOPE, may be more useful.
References in periodicals archive ?
The most detailed letter we have got did admit the half hour of foetal distress.
In majority of patients with presumed foetal distress babies delivered with good Apgar score but with meconium stained liquor.
At the time of delivery following data variables were collected--perinatal mortality, foetal distress during labour, 5 mins Apgar score of > 5, Meconium Stained Amniotic Fluid (MSAF), duration of NICU care.
The emergency CS, IVD for foetal distress, MAS and neuro-developmental handicaps are possible associated problems with MSAF.
The foetal outcome was noted in terms of birth weight, Apgar score at one minute, neonatal intensive care unit admission, preterm delivery, Intrauterine Growth Restriction (IUGR), foetal distress and intrauterine demise.
Pregnancy was considered to have "adverse outcome" when any of these complications were present, perinatal death, emergency CS for foetal distress, 5 minute Apgar score of less than 7, admission to NICU for complications of low birth weight.
Oligohydramnios is more common in third trimester, often due to impaired placental function and has been associated with an increased risk of caesarean delivery for foetal distress, as well as low Apgar score, meconium aspiration syndrome and perinatal mortality and morbidity.
Before delivery the child showed signs of foetal distress and doctors ordered a blood sample.
The nuchal cord is blamed for problems encountered during labour and delivery and is often cited as major cause of foetal distress and perinatal mortality.
No clinical evidence of foetal distress with no high risk factors.
4,13,16,17,18) Foetal complications include prematurity, Intrauterine Growth Restriction (IUGR), Intrapartum Foetal Distress (FD) and Intrauterine Foetal Demise (IUFD).
In our study, foetal distress was diagnosed by foetal monitoring Cardiotocography [CTG].