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Fetal Distress Case Studies

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FETAL DISTRESS

The terms fetal distress and birth asphyxia are broad terms which may point at an adverse condition affecting the fetus.
Fetal distress is a a term used to describe a situation where the clinician feels that the fetus is hypoxic or acidotic or is at risk of becoming so and this concern is significant enough to warrant intervention, usually in the form of operative delivery100.
Fetal asphyxia is clinically defined as progressive hypoxaemia and hypercapnia with significant metabolic acidemia100.
In practice, obstetricians put great emphasis on monitoring of the fetal heart rate patterns as the main means of assessing fetal well- being in labour, whether done by intermittent auscultation or continuous electronic methods. However, …show more content…

Importantly, the fetus is tethered by an umbilical cord, whereby blood flow is constantly in jeopardy. Thus, normal labor is a process where repeated fetal hypoxic events may occur, which may lead to academia in the baby.

Diagnosis-

Identification of “fetal distress” based on fetal heart rate patterns is imprecise and controversial due to intra and interobserver variations.
Because of high interobserver and intraobserver variability in the interpretation of fetal heart rate (FHR) tracings101, the American College of Obstetricians and Gynecologists (ACOG), and the United States National Institute of Child Health and Human Development (NICHD) convened a workshop to standardize definitions and interpretation for electronic fetal monitoring (EFM), propose management guidelines, and develop research questions. Major outputs from this workshop were a clear standard for FHR interpretation and a three-tier system for the categorization of intrapartum EFM10,12. This system has been widely adopted in the United States and elsewhere, and is the basis for this …show more content…

Considering all of labor, the FHR pattern was category I in 77.9 percent of the time, category II 22.1 percent of the time, and category III 0.004 percent of the time. In the two hours before delivery, category I tracings were less commonly observed (60.9%) and both category II and category III tracings became more common (39.1% and 0.006%, respectively). They concluded that category I and II fetal heart rate patterns are more common in labour than category III. Increasing time in labour with a category II tracing in last 2 hours of labour is associated with increased short term newborn morbidity as seen by a low 5-minute Apgar score and increased NICU

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The newborn’s Apgar score was significantly low. The Apgar tests for functions such as breathing effort, heart rate, muscle tone, reflexes, and skin color. Cheng, Shaffer, and Caughey (2006, p. 843) explained that babies born in a face up position are “more likely to have a 5-minute Apgar score of 7 or less.” Clearly all of these operations were not up to par for the newborn.

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Another issue was due to maternal mortality data not including women who had suffered morbidity, as it was limited to only women who died. Lastly, capturing hemorrhage rates was difficult as clinicians had varying definitions for OB hemorrhage, and administrative data had inconsistences in coding, making it difficult to create a standard for benchmarking. Consequently, this pushed the Task Force to identify key points to revolve strategies and tools that can be standardized and utilized in many different

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"Nobody, but nobody, is going to stop breathing on me!" Dr. Virginia Apgar, explaining why she keeps resuscitation equipment with her at all times. It has been commented on from doctors all over the world that all babies born in a hospital after Dr. Apgar, have been looked at first by the eyes of Dr. Apgar. She created the simple but rapid method for assessing newborns. The “Apgar score” which is still in practice day and is used by obstetric teams, the assessment reduces infant mortality and laid the foundations of neonatology.

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Registered Nurses and the Neonatal Specialty On August 7, 1963, Patrick Bouvier Kennedy, was born 5 ½ weeks premature [37 weeks]. He weighed 4 pounds 10 ½ ounces, but succumbed 39 hours after birth to “hyaline membrane disease, now known as respiratory distress syndrome [RDS]” (James 1). Today, this baby would have lived.

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Some of the problems babies can have are that it was born prematurely, it had birth defects, or cardiac malformation, and surgical problems (Neonatal Nursing Career”). Neonatal nurses are put in different levels depending on their education,

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Taylor Thomas CMCN 100 Informative Speech Outline Premature Births I. Introduction A. Attention Getter – Congratulations it’s a girl 1. This is the day that most expecting parents dream of; they finally get to meet their bundle of joy. 2. Imagine giving birth to your child, but don’t get the chance to meet your baby for several days because she needs immediate attention because she cannot breathe on her own.

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In addition, these infants often receive poor prenatal care so there is an increased risk of infection (Jansson, 2015). Neonatal abstinence syndrome presents with many detrimental effects; “neurological, gastrointestinal, and respiratory signs including increased tone, a high pitched cry, poor feeding, sleep-wake abnormalities, poor weight gain, tremors and seizures.” (Dow, Ordean, Murphy-Oikonen, Pereira, Koren, Roukema, Selby, Turner, 2012). In order to enact professional caring when treating the infant with neonatal abstinence syndrome, the nurse must be educated on the pathophysiology and treatment modalities specific to this syndrome. The nurse must also possess courageousness and commitment to the infant when caring for them because a barrier to professional caring for the infant is the distress and frustration at the limitations in the process of comforting and consoling the infant (Maguire, Webb, Passmore & Cline, 2012).

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Most ideal Approach to pick a Birth Injury Lawyer On the off chance that your child has languished an injury and looking over tips on enlisting a birth injury lawyer then this article is ideal for you. We will discuss the conceivable causes and variables that prompt birth injuries, how to pick a birth injury lawyer, and knowing the rate of a decent lawyer. In the wake of perusing this article, you ought to have the capacity to know the most ideal approach to employ a birth injury lawyer.

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Imagine having a baby, but not being able to hold it because it is too small, or too weak. Imagine not being able to feel the touch of a newborn child. Imagine seeing her hooked up to different cords and machines. A premature baby, or preemie, is any baby born before the 37th week of pregnancy. Premature birth occurs between 8 percent to 10 percent of all pregnancies in the United States.

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Babies Born Addicted to Illegal Drugs Mothers who use illegal drugs while pregnant increase the risk of the baby being born having health issues. Babies who are born addicted to drugs usually suffer from neonatal abstinence syndrome (NAS). Babies that are born to mothers addicted to drugs do not have the choice to be clean. Mothers need to think about their unborn child, instead of being selfish and only thinking of themselves and their next “high.” Addiction is a powerful disease that affects one in every ten people in the United States.

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Clinical guidelines on neonatal pain management should be available to nurses and should be regularly updated. The guidelines should be revised according to the latest empirical evidence. The guidelines will ensure effectiveness in and consistent pain assessment and pain management. The hospital must have pain assessment tools in place and the corresponding procedure and guidelines to follow after conducting pain assessment, which may include documentation, interpreting scores, and frequency of pain

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HG is said to be associated with low birthweight (LBW), preterm birth (PTB), small-forgestational-age (SGA), perinatal death and prolonged hospitalization for the new-born infant 126-129. A recent meta-analysis on hyperemesis gravidaruam and pregnancy outcomes, comprising of 13 case–control studies, 10 cohort studies and

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1173 Words | 5 Pages

A patient presented to the labor and delivery unit in labor. The patient was a gravida four and para three at 35-weeks gestation with a history of precipitous labors and a previous cesarean section. Upon vaginal examination, the patient was dilated to a six and the physician ordered for the patient to be admitted. The standard protocol of admitting a labor patient, which included lab work, patient history, the signing of consents, and establishing an intravenous (IV) access. During the admission process, the patient’s labor progresses and requests an epidural for labor pain control.

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929 Words | 4 Pages

Progressive reduction in body temperature leads to adverse clinical effects ranging from mild metabolic stress to death4. At birth, the newly born infant is suddenly exposed to a wet and cold environment and responds by increasing heat production and attempts to conserve heat by cutaneous vasoconstriction. These responses begin within a matter of minutes and can persist for many hours5. In the absence of thermal protection, the newborn may lose considerable heat, resulting in a drop of the infant's body temperature at a rate of 0.2 to 1.0 °C min−1.

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1101 Words | 5 Pages

During the second trimester or four to six months, the heart rate gets stronger and other body systems are further developed. Nails, hair, eyelashes and footprints. Perhaps the most obvious size of the fetus is dramatically increasing and is about six times higher. While providing uterine protection, the fetus is indirectly connected to the outside world through the mother. Many mother-related factors can harm the fetus: poor nutrition, alcohol use, smoking, the use of some prescription or over-the-counter drugs, the use of recreational drugs such as cocaine, sedatives and drugs, X-rays and other types of radiation.

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