In fact, in a study of 153,593 children, those born to high-risk women who were carefully watched and delivered if there were signs of fetal asphyxia
were seven times less likely to develop attention-deficit disorder (ADD) as children born to low-risk mothers who were not monitored, Dr.
Vintzileos and colleagues, published in 1993, showed a significant decrease in perinatal death associated with fetal asphyxia
, the reason for the results' lack of correlation with the results of the other trials was unknown.
11) These maneuvers may result in a fracture to the humerus, but this complication is acceptable given the risk of fetal asphyxia
Continuous electronic intraoperative fetal monitoring (9) is done routinely to oversee the fetal status during labor and is a resource that has proven to be useful to detect changes in fetal wellbeing (10); however, it is unable to detect intrapartum fetal asphyxia and hence the opportunity for early intervention to ensure the wellbeing of the fetus is missed (11).
Limitations in the clinical prediction of intrapartum fetal asphyxia.
Classification of Intrapartum Fetal Asphyxia
Asphyxia Metabolic Cardiovascular, acidosis respiratory, at and renal delivery Encephalopathy complications * Minor Moderate Severe Minor Moderate/severe Mild + +/- +/- Moderate + + +/- Severe + + + * Umbilical artery base deficit [greater than or equal to]12 mmol/L.
At vaginal delivery we strive to avoid fetal asphyxia
and brachial plexus injury.