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 ?
Although fetal distress was the leading indication for CS in our study, birth asphyxia was not the leading cause of admissions to the NICU, reflecting either
Four of the women had AFIs that decreased to <5 cm, with CTG indicating fetal distress following IOL.
The case group had significantly higher incidences of perinatal complications including IUGR, abnormal fetal heart rate tracings, and fetal distress (Figure 6).
Specifically, the technique's physical demands on the patient during monitoring appear to contribute to the development of fetal distress.
Similarly, fetal distress is less likely to be diagnosed for HMO deliveries (line 9), but HMO patients are more likely to have a c-section when fetal distress is reported (line 10).
No caesarean section was done for fetal distress in either of the groups.
Despite some minor signs of fetal distress just after delivery, Dr.
Failure to intervene in [the] face of fetal distress and non-reassuring fetal heart rate patterns; 4.
They include the plaintiff attorney's case summary, complaint, opening statement, and closing argument; depositions from plaintiff and defense expert witnesses; verdict information; TRIAL articles and ATLA Education speaker papers; national guidelines pertaining to fetal distress, induction of labor, C-sections, and preeclampsia; secondary sources, such as Internet resources, a medical glossary of terms, and an abbreviated medical journa survey; and medical illustrations from Medical Legal Art: The Doe Report, an ATLA Extras company.
Increased concentrations of lipid peroxidation products in cord arterial blood are associated with clinical situations known to cause fetal distress, but they have not been shown to be associated with significant morbid outcomes such as HIE.
The complaint alleged that the medical care providers "failed to promptly diagnose the signs and symptoms of Kwabene's severe fetal distress, and failed to promptly monitor and deliver [Kwabene], thereby resulting in Kwabene's severe asphyxia, seizures, and ultimately, his premature death .
There were no differences in pregnancy outcome, delivery method, maternal weight gain, gestational age, infant birth weight or fetal distress.