Fetal distress

Fenton, Arnold N.; Steer, Charles M.

doi:10.1016/s0002-9378(16)35842-2

Cited by 60 publications

(13 citation statements)

References 14 publications

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“…Although the exact cause is not known, meconium is thought to be passed from the fetal gastro-intestinal tract as a response to hypoxia, mesentric vasoconstriction induced gut hyperperistalsis, falling umbilical venous saturation, vagal stimulation and normal physiological function of a mature fetus. [1,2] Conflicting outcomes have been reported in the labours, complicated by meconium staining of the amniotic fluid, varying with the degree of meconium staining. [3,4,5] Foetal distress is defined as alterations in the foetal heart rate (FHR)more commonly bradycardia and thepassage of meconium in response to the underlying foetal hypoxia.…”

Section: Introductionmentioning

confidence: 99%

Meconium Stained Liquor and Its Fetal Outcome - Retrospective Study

Priyadharshini.V¹

2013

IOSR-JDMS

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Section: Introductionmentioning

confidence: 99%

Meconium Stained Liquor and Its Fetal Outcome - Retrospective Study

Priyadharshini.V¹

2013

IOSR-JDMS

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“…Fenton and Steer suggested that passage of meconium was not significant if the fetal heart rate was greater than 110 beats per minute. 7 So, when facilities like cardiotocography (CTG), fetal blood sampling is not available, it is difficult to decide whether vaginal delivery or cesarean section should be done. Even when cesarean section is done, meconium aspiration syndrome can still occur and considerable morbidity may result both to newborn and mother.…”

Section: Introductionmentioning

confidence: 99%

Maternal and fetal outcome in term labour with meconium stained amniotic fluid

et al. 2012

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Introduction: Passage of meconium in utero is a dangerous sign for fetal outcome which influence the decision to deliver as well as the mode of delivery. Methods: This descriptive case control study was carried out in the department of Obstetrics and Gynaecology, Koshi Zonal Hospital from March 2006 to July 2006. A total of 50 women with meconium stained amniotic fluid( MSAF) were studied to identify maternal and fetal outcome and was compared with women with clear amniotic fluid. Results: Normal delivery was significantly higher (58%) in clear liquor group as compared to MSAF group (22%). Cesarean section was more common in MSAF group (66%) where as it was (38%) in the clear liquor group (p=0.005). Low Apgar scores of < 5 at one minute was seen in 48% of MSAF and 6% of clear liquor born babies (p<0.2). But at 5 minutes low Apgar score persisted in same 48% of MSAF babies whereas it was seen in 12% of clear liquor group (p<0.000). Among the babies born with MSAF 34% were referred to higher center compared to 6% in clear liquor babies (p=0.000). Four babies with thick MSAF and one baby with clear liquor had neonatal death (p=0.005). Conclusion: Mode of delivery and fetal outcome were adversely affected by the presence of thick meconium stained liquor as compared to clear liquor. Additional monitoring facilities e.g. cardiotocography (CTG) if available would reduce fetal distress and allow timely intervention in such cases.

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“…Retrospective studies on foetal distress indicate that no one clinical sign is superior to the others (Walker, 1959;Wood & Pinkerton, 1961;Fenton & Steer, 1965). These findings have been confirmed by Beard et al (1967) who conclude that no single clinical sign of foetal distress or combination of them is clearly superior to another for diagnostic purposes, irrespective of whether the Apgar score or acidosis is used as an index of foetal asphyxia.…”

Section: Discussionmentioning

confidence: 89%

Foetal acid-base status in clinical foetal distress and high risk casesThe material in this paper has been taken from an M.D. Thesis submitted to the University of Hong Kong.

Lee

1972

Postgraduate Medical Journal

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SummaryThe acid-base balance in 307 Chinese patients in labour was studied in Tsan Yuk Hospital, Hong Kong over a 15-month period. Fifty-six of these were normal cases, 200 cases exhibited clinical signs of foetal distress and the other fifty-one were high risk cases. The results showed that cases of clinical foetal distress had a significantly lower foetal pH than that in the normal control group. Of the different signs of clinical foetal distress, meconium was the least important and foetal tachycardia appeared to be more significant than the others. Cases of postmaturity and uterine inertia also gave a lower foetal pH than normal. It is concluded that foetal blood sampling is indicated in these types of cases.

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Fetal distress

Cited by 60 publications

References 14 publications

Meconium Stained Liquor and Its Fetal Outcome - Retrospective Study

Meconium Stained Liquor and Its Fetal Outcome - Retrospective Study

Maternal and fetal outcome in term labour with meconium stained amniotic fluid

Foetal acid-base status in clinical foetal distress and high risk casesThe material in this paper has been taken from an M.D. Thesis submitted to the University of Hong Kong.

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