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    Fetal Distress

    Uploaded by

    syafahalim
    1) Fetal distress is defined as a state of hypoxia and acidosis during pregnancy caused by depletion of oxygen and accumulation of carbon dioxide during intra-uterine life. 2) It can be caused by maternal factors like preeclampsia, anemia, bleeding, or infection, or placental/umbilical factors like obstructed blood flow or placental dysfunction. 3) Signs of fetal distress include abnormal fetal heart rate, meconium staining of amniotic fluid, decreased fetal movement, and acidosis in fetal blood samples. Immediate delivery is often required if conservative measures like changing position or oxygen administration are unsuccessful in improving the baby's condition.

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    Fetal Distress

    Uploaded by

    syafahalim
    352 views23 pages
    1) Fetal distress is defined as a state of hypoxia and acidosis during pregnancy caused by depletion of oxygen and accumulation of carbon dioxide during intra-uterine life. 2) It can be caused by maternal factors like preeclampsia, anemia, bleeding, or infection, or placental/umbilical factors like obstructed blood flow or placental dysfunction. 3) Signs of fetal distress include abnormal fetal heart rate, meconium staining of amniotic fluid, decreased fetal movement, and acidosis in fetal blood samples. Immediate delivery is often required if conservative measures like changing position or oxygen administration are unsuccessful in improving the baby's condition.

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    fetal distress

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    1) Fetal distress is defined as a state of hypoxia and acidosis during pregnancy caused by depletion of oxygen and accumulation of carbon dioxide during intra-uterine life. 2) It can be caused by maternal factors like preeclampsia, anemia, bleeding, or infection, or placental/umbilical factors like obstructed blood flow or placental dysfunction. 3) Signs of fetal distress include abnormal fetal heart rate, meconium staining of amniotic fluid, decreased fetal movement, and acidosis in fetal blood samples. Immediate delivery is often required if conservative measures like changing position or oxygen administration are unsuccessful in improving the baby's condition.

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    Download as ppt, pdf, or txt
    352 views23 pages

    Fetal Distress

    Uploaded by

    syafahalim
    1) Fetal distress is defined as a state of hypoxia and acidosis during pregnancy caused by depletion of oxygen and accumulation of carbon dioxide during intra-uterine life. 2) It can be caused by maternal factors like preeclampsia, anemia, bleeding, or infection, or placental/umbilical factors like obstructed blood flow or placental dysfunction. 3) Signs of fetal distress include abnormal fetal heart rate, meconium staining of amniotic fluid, decreased fetal movement, and acidosis in fetal blood samples. Immediate delivery is often required if conservative measures like changing position or oxygen administration are unsuccessful in improving the baby's condition.

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    Efendi Lukas

    Definition
    Fetal distress is defined as
    depletion of oxygen and
    accumulation of carbon
    dioxide,leading to a state of
    hypoxia and acidosis during
    intra-uterine life.

    AEROBIC METABOLISM
    GLUCOS
    E

    OXYGE
    N

    ACTIVITY

    GLYCOGEN
    AEROBIC
    METABOLISM

    ENERGY
    GROWT
    H

    CO2
    WATE
    R

    ANAEROBIC METABOLISM
    ENERGY

    GLYCOGEN
    GLUCOS
    E

    ANAEROBIC
    METABOLISM

    BASAL
    ACTIVITY

    LACTIC
    ACID

    Satur
    asi
    O2 HIPOKSEMI
    A
    HIPOKSIA

    ASFIKSI
    A

    Bbrp minggu
    & hari

    Bbrp
    jam

    me
    nit

    Wakt
    u

    Etiology
    Maternal factors
    1) Microvascular ischaemia(PIH)
    2) Low oxygen carried by RBC(severe

    anemia)
    3) Acute bleeding(placenta previa,
    placental abruption)
    4) Shock and acute infection
    5) obstructed of Utero-placental blood
    flow

    Etiology
    Placenta umbilical factors
    1) Obstructed of umbilical blood flow
    2) Dysfunction of placenta
    3) Fetal factors
    4) Malformations of cardiovascular

    system
    5) Intrauterine infection

    Pathogenesis
    Hypoxia accumulation of carbon dioxide

    Respiratory Acidosis

    Acute
    FHR FHR FHR
    fetal

    distres
    Intestinal peristalsis
    s

    Relaxation of the anal sphincter

    Meconium aspiration

    Fetal or neonatal pneumonia

    Pathogenesis
    Chronic
    Fetal
    distress

    IUGR
    (intrauterine
    growth
    retardation)

    Clinical manifestation
    Acute fetal distress
    (1)FHR
    FHR>180 beats/min (tachycardia)
    <100 beats/min (bradycardia)
    (LD) Repeated Late deceleration
    Placenta dysfunction
    (VD) Variable deceleration
    Umbilical factors

    FHR:120~160 bpm / FHR variability

    Early deceleration ED

    Late
    deceleration LD

    Variable
    deceleration VD

    Clinical manifestation
    Acute fetal distress
    (2) Meconium staining of the amniotic
    fluid grade I II III
    (3) Fetal movement
    Frequentlydecrease and weaken
    (4) Acidosis
    FBS (fetal blood sample)
    pH<7.20
    pO2<10mmHg (15~30mmHg)
    CO2>60mmHg (35~55mmHg)

    Clinical manifestation
    Chronic fetal distress
    (1) Placental function
    (2) FHR
    (3) BPS
    (4) Fetal movement
    (5) Amnioscopy

    FETAL
    DISTRESS
    MANAGEMEN
    T

    When fetal distress is present, immediate action


    must be taken to restore proper blood supply and
    oxygenation to the baby.
    If there are signs of fetal distress, the healthcare
    provider may choose to deliver the baby immediately
    (often by cesarean section). Often, however, he or
    she will take other steps first to try to improve and
    confirm the baby's condition.
    -

    - alteration of maternal position

    hydration
    oxygen administration
    checked for meconium
    fetal scalp stimulation
    amnioinfusion

    If the mother is receiving oxytocin (a drug


    that induces labor), the healthcare
    provider may stop giving it.
    If conservative measures are
    unsuccessful, immediate delivery of the
    baby (often by cesarean section) is
    required .

    In certain situations, it may be appropriate to


    resuscitate the baby in the uterus before performing
    the cesarean delivery: use of medication
    The fetus must continue to be monitored closely for
    signs that the treatment is not working, which would
    require the immediate commencement of the
    cesarean delivery.
    The negligence of a healthcare provider to
    implement an appropriate treatment plan can result
    in permanent injury, or even death, to baby and
    mother.

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