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Topic: Fetal distress

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	What Constitutes Fetal Distress? By Jeffrey P. Phelan, MD, JD
		Fetal distress is fetal bradycardia that doesn't respond to intrauterine resuscitation attempts.
		Fetal distress is repetitive severe decelerations (<60 bpm, >60 seconds); persistent fetal tachycardia (>160 bpm) with the loss of beat-to-beat variability; or persistent late deceleration and loss of variability.
		Fetal distress presents on a FHR tracing as significantly decreased variability with late decelerations; late recurrent decelerations; or recurrent and prolonged fetal bradycardia.
	www.obgyn.net /FM/articles/obgmgmt_fetaldistress.htm (0 words)

	Fetal Distress
		Although studies have indicated that the monitor has a high false positive rate (says the baby is in distress when he is not), the mother who has been told her baby is in distress may be too concerned to remember that it may not be real.
		"Fetal Distress" In 1988, ACOG recommended that the term "fetal distress" be abandoned (Committee Opinion No. 197) and recently voiced its concern about the continued use of the term as an antepartum or intrapartum diagnosis.
		The ACOG Committee on Obstetric Practice has reaffirmed that the term "fetal distress" is imprecise and nonspecific and has asked that the anesthesiology community be made aware that this term should not be used.
	www.birthingnaturally.net /birth/challenges/distress.html (0 words)

	Fetal Distress
		Fetal distress is a condition in which the fetus (unborn baby) develops a problem during the mother’s labor.
		Although fetal distress is a loosely defined medical term, it usually refers to fetal hypoxia (lack of oxygen).
		Babies with the condition are generally delivered in good health, but in some cases fetal distress can lead to problems such as learning disabilities, cerebral palsy, mental retardation, and seizures.
	www.clevelandclinic.org /health/health-info/docs/3800/3896.asp?index=12401 (0 words)

	Fetal distress during labor
		Fetal distress can occur for a variety of reasons during labor and delivery and some causes are more urgent than others.
		If fetal distress is observed during pregnancy, most likely through ultrasound or a non-stress test, your health care provider will most likely consider an induction or schedule a c-section if the situation appears ominous.
		Fetal distress is a serious condition and one which warrants prompt attention.
	papa.essortment.com /fetaldistress_rhpt.htm (545 words)

	Two million med-mal settlement in brain damage case -- failure to respond to fetal distress
		At 1:45 a.m., the physician documented that the fetal heart rate was in the 130's with some variable decelerations, and that the plaintiff was fully dilated.
		She noted "slow progress with pushing." At 2:50 a.m., the defendant noted that the fetal heart rate baseline increased to 170 at times, and that the IV was infusing wide open.
		Furthermore, given this non-reassuring fetal heart tracing, the accepted standard of care required that the defendant perform intrauterine resuscitative measures including administering oxygen, positioning the plaintiff on her left side, and administering an intravenous fluid bolus.
	www.lubinandmeyer.com /cases/case_cerebral.html (773 words)

	[Clinical Preventive Services] Intrapartum Electronic Fetal Monitoring (Site not responding. Last check: )
		Abnormal decelerations in fetal heart rate and decreased beat-to-beat variability during uterine contractions are considered to be suggestive of fetal distress.
		Electronic fetal heart rate monitoring can detect at least some cases of fetal distress, and it is often used for routine monitoring of women in labor.
		With electronic fetal monitoring combined with scalp blood sampling, the relative risk of intrapartum death was 0.81 (95% confidence interval, 0.22 to 2.98) and of perinatal death was 0.98 (95% confidence interval, 0.58 to 1.64) when compared to intermittent auscultation.
	cpmcnet.columbia.edu /texts/gcps/gcps0049.html (1979 words)

	Electronic fetal monitoring Encyclopedia of Medicine - Find Articles (Site not responding. Last check: )
		The fetal monitor is a fancier version of the machine that a health care provider uses to listen to a baby's heartbeat.
		Fetal monitoring is the best test available to evaluate an unborn baby, and it is almost the only test that can be used to make sure that a baby is doing well during labor.
		Some people believe that fetal monitoring leads to unnecessary C-sections, but at the moment, there is no other method for identifying babies in trouble during labor.
	www.findarticles.com /p/articles/mi_g2601/is_0004/ai_2601000471 (979 words)

	Fetal Distress
		Fetal distress is a condition in which the fetus (unborn baby) develops a problem during the mother’s labor.
		Although fetal distress is a loosely defined medical term, it usually refers to fetal hypoxia (lack of oxygen).
		Babies with the condition are generally delivered in good health, but in some cases fetal distress can lead to problems such as learning disabilities, cerebral palsy, mental retardation, and seizures.
	clevelandclinic.org /health/health-info/docs/3800/3896.asp?index=12401 (602 words)

	Fetal Distress- Symptoms, Causes (Site not responding. Last check: )
		Fetal distress, although it may also be more commonly known as “nonreassuring fetal heart tracing”.
		While some change in fetal heart pattern during labor is fairly, but there are also a variety of different factors which may cause fetal distress.
		There is no real way of knowing if your baby is suffering from fetal distress unless the doctors are monitoring the baby’s heart rate, and so for those who choose not to have the heart rate monitored, then they run a higher risk of having their baby suffer from more permanent damage during labor.
	www.pregnancy-calendars.net /fetaldistress.asp (437 words)

	[No title]
		A fetal monitor is an electronic instrument that records the heartbeat of a fetus and contractions of the uterus.
		During contractions, the normal pattern is for the fetal heart rate to slow, picking up again as the contraction ends.
		In this procedure, the fetal monitor is attached to the mother's abdomen and records the fetal heart rate.
	www.lycos.com /info/fetal-monitor.html (500 words)

	Failure To Diagnose Fetal Distress, Medical Malpractice Lawyers, Boston, Massachusetts
		Distraught parents who learn of fetal injury or loss are often quick to blame their physicians despite the lack of compelling evidence suggesting any form of medical error.
		Nevertheless, the failure on the part of obstetricians to identify evidence of fetal distress and to take prompt steps to treat their cause is a common source of obstetrical malpractice cases.
		Fetal distress, which may be detectable by way ultrasound and _______ studies, can result from such conditions as __________, where the mother’s umbilical cord becomes wrapped around the neck of the fetus, thereby interfering with otherwise proper fetal oxygenation resulting in increased fetal heart rates detectable by common fetal monitoring techniques.
	www.parkerscheer.com /injury-diagnose-fetal-distress.html (234 words)

	Why Are Cesareans Performed? Information on Healthline
		Fetal distress generally refers to the detection of an abnormal fetal heart rate pattern either by listening with the stethoscope (auscultation) or by monitoring of fetal heart rate tracings.
		Scientists worked on the development of fetal monitoring thirty years ago with the hope that the ability to detect fetal distress would lead to a rapid elimination of cerebral palsy (a condition which is occasionally caused by events during labor and delivery).
		Because true fetal hypoxia can be diagnosed for certain only after delivery, some doctors today use the term non-reassuring fetal heart rate tracing to indicate what had previously been referred to as fetal distress.
	www.healthline.com /yodocontent/pregnancy/cesarean-section-indications.html (1490 words)

	CS - Fetal Distress 1997
		In most cases of emergency cesarean for fetal distress there is sufficient time to confirm fetal hypoxia and initiate intrauterine resuscitative efforts -- mainly hydration, oxygenation, change in maternal position, discontinuation of oxytocin and determination of fetal well-being by acoustic stimulation and/or fetal scalp monitoring.
		If no true fetal distress exists in the first place, then longer than 30 minutes would not produce larger number of poor neonatal outcomes (a theory also was born out by this study).
		Once the decision is made to proceed with CS for fetal distress, this fact should be documented in the patient's chart, the operative team informed of the need to start the procedure within 30 minutes.
	www.collegeofmidwives.org /safety_issues01/OBG98cs.htm (2471 words)

	Basic Imaging > Ultrasound of Fetal Biometrics and Growth
		Rational: Fetal growth is a linear, predictable process in the normal fetus which is analogous to growth in childhood.
		Expected fetal size for this gestational age is read from a normal table, and fetuses below the 10th percentile a labeled growth retarded, and assigned to high risk care, usually careful serial monitoring of fetal wellbeing beginning at 26 weeks.
		In practice this can be implemented by plotting serial estimates of fetal weight onto a fetal growth curve, and looking for unexplained drops from upper to lower ranges of the normal curve.
	radiology.creighton.edu /fetalbio.htm (2743 words)

	Washington DC Prenatal Care Lawyer Maryland Fetal Monitoring Attorney Fetal Hypoxia Law Firm
		The fetal heart rate in both premature and term fetuses may show signs, such as variable, prolonged, and/or late decelerations, bradycardia and tachycardia, and decreased and absent variability, when the fetus becomes hypoxic or acidotic.
		Thus, for electronic fetal monitoring to help doctors and nurses determine whether the fetus is hypoxic or being compromised in utero, they must be properly trained to recognize "abnormal" or "nonreassuring" fetal heart rate patterns and signs of fetal distress.
		Unfortunately, however, some cases of cerebral palsy continue to occur because clinicians fail to recognize and to respond to fetal heart rate patterns suggesting the presence of hypoxia and developing acidosis and to expedite the delivery before the onset of irreversible brain damage.
	www.birth-injuries-lawyer.com /PracticeAreas/Fetal-Monitoring.asp (426 words)

	Fetal distress - Wikipedia, the free encyclopedia
		In medicine (obstetrics), fetal distress is the presence of signs in a pregnant woman—before or during childbirth—that the fetus is not well or is becoming excessively fatigued.
		Fetal distress frequently results in more distress for the parents than for the fetus.
		In many situations fetal distress will lead the obstetrician to recommend steps to urgently deliver the baby.
	en.wikipedia.org /wiki/Fetal_distress (249 words)

	Phoenix Fetal Distress Lawyer \| Scottsdale Failure to Respond Attorney \| Arizona, Mesa, Tempe, Gilbert, Peoria, ...
		Fetal distress during labor or delivery may indicate any number of problems related to the mother or the baby.
		The appropriate reaction to indications of fetal distress is a quick facilitation of birth.
		Contact us to schedule a consultation regarding your child's birth injury and possible causes of the fetal distress that may have caused that injury.
	www.arizona-malpractice.com /PracticeAreas/Fetal-Distress.asp (0 words)

	Fetal distress definition - Medical Dictionary definitions of popular medical terms easily defined on MedTerms
		Fetal distress: Compromise of the fetus during the antepartum period (before labor) or intrapartum period (birth process).
		The term "fetal distress" is commonly used to describe fetal hypoxia (low oxygen levels in the fetus).
		Fetal distress can be detected due to abnormal slowing of labor, the presence of meconium (dark green fecal material from the fetus) or other abnormal substances in the amniotic fluid, or via fetal monitoring with an electronic device showing a fetal scalp pH of less than 7.2.
	www.medterms.com /script/main/art.asp?articlekey=3418 (0 words)

	Medical Malpractice Fetal Monitoring: $4 million settlement for failure to respond to fetal distress
		The plaintiff also conveyed that she had felt good fetal movement earlier that morning but that by the afternoon she was unable to detect any signs of movement.
		The plaintiff was hooked up to an electronic fetal monitor to assess fetal well being as well as to determine the frequency of the plaintiff’s contractions.
		By 4:36 a.m., the fetal heart rate went into a terminal bradycardia, indicating further that the baby was experiencing the cumulative effects of hypoxia.
	www.lubinandmeyer.com /cases/fetal_distress.html (1351 words)

	MCPC - Fetal distress in labour
		A very slow fetal heart rate in the absence of contractions or persisting after contractions is suggestive of fetal distress.
		In the absence of a rapid maternal heart rate, a rapid fetal heart rate should be considered a sign of fetal distress.
		Meconium staining of amniotic fluid is seen frequently as the fetus matures and by itself is not an indicator of fetal distress.
	who.int /reproductive-health/impac/Symptoms/Fetal_distress_S95_S96.html (426 words)

	Basic Imaging > Ultrasound of Fetal Wellbeing
		In fetal distress, oligohydramnios represents fetal renal failure, and is by itself a
		Subsequent research has shown that placental grade is not a independent marker for fetal distress, but correlates with post-date status which correlates with increased morbidity.
		When Diastolic flow is absent or reversed, fetal distress is almost certain, and immediate BPP or NST or even delivery may be indicated.
	radiology.creighton.edu /fetalwell.htm (888 words)

	Fetal Monitor (Site not responding. Last check: )
		This technique is used for the determination of fetal well-being and the early detection of fetal distress.
		Through continuous recordation of the heartbeat, inadequate fetal oxygenation often can be identified and measures taken to avert long-term morbidity or mortality.
		Developed for "high-risk" pregnancies, fetal monitoring is applied in the majority of normal pregnancies, too.
	www.obgyn.upenn.edu /History/fetalmon.html (94 words)

	Fetal Distress - Patient UK
		The main cause of antepartum fetal distress is uteroplacental insufficiency.
		Fetal bradychardia (<110bpm) or tachycardia (> 160bpm) may be associated with hypoxia but several other factors can cause tachycardia, e.g.
		Late decelerations, defined as uniform,repeated, periodic slowing of the fetal heart rate, whose onset is from mid to end of the contraction, with its nadir more than 20 seconds after the peak intensity of the contraction, suggest fetal hypoxia.
	www.patient.co.uk /showdoc/40000206 (0 words)

	New York Fetal Distress Accident Lawyers - Brooklyn Fetal Distress Accident Attorneys - Wingate, Russotti & Shapiro
		Fetal distress occurs when a baby does not handle the stress of childbirth well or is not receiving enough oxygen.
		Fetal distress is a frightening and emotional situation for any parent to endure.
		In the event of fetal distress the baby is typically delivered as quickly as possible, many times by cesarean section.
	www.wrslaw.com /pa_fetal_distress_accidents.html (0 words)

	Maternal oxygen administration for fetal distress
		This has been used for suspected fetal distress during labour, and prophylactically during the second stage of labour on the assumption that the second stage is a time of high risk for fetal distress.
		The objective of this review was to assess the effects of maternal oxygenation for fetal distress during labour and to assess the effects of prophylactic oxygen therapy during the second stage of labour on perinatal outcome.
		Randomised trials comparing maternal oxygen administration for fetal distress during labour and prophylactic oxygen administration during the second stage of labour with a control group (dummy or no oxygen therapy).
	www.cochrane.org /reviews/en/ab000136.html (0 words)

	Healthopedia.com - Fetal Heart Monitoring (External Fetal Monitoring, Fetal Heart Rate Tracing, Intrapartum Fetal ...
		Fetal monitoring is the recording of the baby's heart rate and the mother's contractions during labor.
		The contractions of the uterus during labor decrease the amount of blood flowing to the placenta, the organ that normally attaches to the uterus, connecting the developing fetus to the mother and supplies nutrition and oxygen to the fetus.
		Fetal monitoring is also used to evaluate the strength of uterine contractions in cases such as:
	www.healthopedia.com /fetal-heart-monitoring (682 words)

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