Management of foetal asphyxia by intrauterine foetal resuscitation

Velayudhareddy, S; Kirankumar, H

doi:10.4103/0019-5049.71032

Cited by 10 publications

(8 citation statements)

References 22 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fetal distress is a common contributor to increasing CS rates 14 . One method of decreasing fetal distress could be intrauterine fetal resuscitation and fetal blood sampling to confirm the diagnosis of fetal distress 16 . However, because of the absence of facilities for fetal blood sampling in Bhutan, high‐risk pregnant women with persistent variable deceleration or prolonged deceleration undergo CS to avoid fetal complications.…”

Section: Discussionmentioning

confidence: 99%

Indications and factors associated with cesarean section in Bhutan: A hospital‐based study

Dorji¹,

Wangmo²,

Dorjey

et al. 2020

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To investigate the factors associated with cesarean section (CS) in Bhutan. Methods This was a cross‐sectional study, using the retrospective data from the birth registers maintained in comprehensive emergency obstetric care centers for the year 2018. The data were entered in excel 2013 and analyzed using STATA 13. Multiple logistic regression was used to understand the factors associated with CS in Bhutan. Results The rate of CS in Bhutan was 18.7%. The indications for CS were previous CS, fetal distress, prolonged labor, and failed induction. The factors associated with CS were maternal age over 25 years, male child, women with smaller number of living children, multiple pregnancy, and gestation over 40 weeks. In addition, mothers delivering in Samtse Hospital and Central Regional Referral Hospital had higher odds of CS. Conclusion In Bhutan, CS was commonly performed for mothers with previous CS, fetal distress, and prolonged labor. Increasing maternal age, multiple pregnancy, and postdated pregnancy and those with one child, or none, were more likely to undergo CS. To reduce the CS rate, Bhutan should focus on decreasing the primary CS rate as well as preventing over‐diagnosis of prolonged labor by focusing on the partograph.

show abstract

Section: Discussionmentioning

confidence: 99%

Indications and factors associated with cesarean section in Bhutan: A hospital‐based study

Dorji¹,

Wangmo²,

Dorjey

et al. 2020

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…Another local study carried out in the department of obstetrics and gynaecology ,all India institute of medical sciences concluded that non reassuring FHR detected on CTG did not correlate well with decrease neonatal outcome ,there was no significant difference in immediate adverse neonatal outcome whether the D-D interval was < or >30 minutes 12,13 .…”

Section: Discussionmentioning

confidence: 98%

Abnormal Cardiotocography;

Perveen¹,

Naheed

Sultana

et al. 2014

TPMJ

View full text Add to dashboard Cite

Objective: To observe the effect of abnormal Cardiotocography to delivery interval on perinatal outcome in terms of Apgar score. Study design: Descriptive case series study. Place and duration of study: Baqai Medical University department of obstetrics and gynecology Fatima Hospital Karachi from Jan 2011 to July 2011. Material and method: One hundred patients were registered who had pathological Cardiotocography. Bishop’s score was noted and decision to deliver the patient was made according to the abnormality, and bishop’s score. If bishop’s score was good and vaginal delivery was imminent, then her second stage was shortened by operative vaginal delivery. Fetal distress was managed by left lateral position, O2 inhalation and hydration. If delivery was not imminent then decision of urgent LSCS was made, meanwhile fetal distress was managed. Decision – delivery interval was recorded, and fetal outcome was noted in terms of Apgar score and resuscitation needed. Results: During this period one hundred pregnant women at term had pathological CTG for which they were delivered urgently. Among them 12% of parturients were delivered within 30 min ,68% delivered within 30-60 min , 12% delivered in 60-90 min and only 8% were delivered in 90-120 min. Seventy four (74%) of parturients were delivered by emergency lower segment caesarean section and 26% of parturients were delivered by instrumental vaginal delivery. Fetal outcome in terms of 1 min Apgar score ,38% of neonates had Apgar score of <7 ,46% had >7 and 16% had Apgar score of <5. This group of neonates required resuscitation and 5 min Apgar was good. No neonate was admitted in Neonatal unit. Conclusions: In this study it is concluded that with fetal heart rate abnormality, if fetus is delivered within 60 min, it is not associated with poor fetal and neonatal outcome, provided fetal distress is managed while preparing for emergency lower segment caesarean section.

show abstract

“…To give a few examples, health care workers reported to administer intravenous fluids to the mother when foetal distress was detected. The role of intravenous fluids according to the UCG is for rehydration and prevention of ketosis for women in labour irrespective of their foetal heart rate status [ 17 ] and similarly, intravenous fluids are provided as the first action for foetal distress in high and other low income countries [ 31 – 34 ]. However, WHO guidelines do not support administration of intravenous fluids as an action against foetal distress [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Health care workers’ experiences of managing foetal distress and birth asphyxia at health facilities in Northern Uganda

et al. 2021

View full text Add to dashboard Cite

Background Birth asphyxia is one of the leading causes of intrapartum stillbirth and neonatal mortality worldwide. We sought to explore the experiences of health care workers in managing foetal distress and birth asphyxia to gain an understanding of the challenges in a low-income setting. Methods We conducted in-depth interviews with 12 midwives and 4 doctors working in maternity units from different health facilities in Northern Uganda in 2018. We used a semi-structured interview guide which included questions related to; health care workers’ experiences of maternity care, care for foetal distress and birth asphyxia, views on possible preventive actions and perspectives of the community. Audio recorded interviews were transcribed verbatim and analysed using inductive content analysis. Results Four categories emerged: (i) Understanding of and actions for foetal distress and birth asphyxia including knowledge, misconception and interventions; (ii) Challenges of managing foetal distress and birth asphyxia such as complexities of the referral system, refusal of referral, lack of equipment, and human resource problems, (iii) Expectations and blame from the community, and finally (iv) Health care worker’ insights into prevention of foetal distress and birth asphyxia. Conclusion Health care workers described management of foetal distress and birth asphyxia as complex and challenging. Thus, guidelines to manage foetal distress and birth asphyxia that are specifically tailored to the different levels of health facilities to ensure high quality of care and reduction of need for referral are called for. Innovative ways to operationalise transportation for referral and community dialogues could lead to improved birth experiences and outcomes.

show abstract

Management of foetal asphyxia by intrauterine foetal resuscitation

Cited by 10 publications

References 22 publications

Indications and factors associated with cesarean section in Bhutan: A hospital‐based study

Indications and factors associated with cesarean section in Bhutan: A hospital‐based study

Abnormal Cardiotocography;

Health care workers’ experiences of managing foetal distress and birth asphyxia at health facilities in Northern Uganda

Contact Info

Product

Resources

About