/ / Fetal distress at birth

Fetal distress in childbirth

The gestation period is for womenexciting and important. Throughout the period it is important to know that the baby is fully developing and feeling good. Any violations may indicate the presence of fetal distress. To diagnose fetal distress syndrome, CTG and ultrasound should be performed. According to the survey data, it will be seen whether the baby has a heartbeat that is disturbed, decreased activity, or specific reactions to contractions.

fetal distress

Explanation of the term

The concept of "fetal distress" impliesthe presence of hypoxia in the baby (oxygen starvation). As a result, there is a rapid development of deviations in almost all vital systems. The brain, respiratory and cardiovascular systems suffer the most. In some cases, fetal distress requires immediate delivery.

Intrauterine hypoxia may develop underthe influence of external adverse factors (poor ecology and living conditions, unhealthy diet or lifestyle of the pregnant). They significantly impair blood flow from the uterus to the placenta, as a result of which the fetus does not receive enough oxygen and other substances necessary for development.

fetal distress syndrome

About twenty percent of women (of the total number of pregnant women) are diagnosed with fetal distress.

Varieties of the syndrome

Depending on the period of development distinguish distress:

  • during pregnancy;
  • at birth

It is important to note that the diagnosis made at an early date carries more threats to the life of the baby than the syndrome that developed after 30 weeks, since during this period a cesarean section is possible.

  • The development of distress in the first trimester leads to disruption of the development of vital systems and spontaneous abortion (miscarriage).
  • Distress of the fetus in the second trimester provokes a delay in the development of the baby, miscarriage, fading, premature birth.
  • The syndrome that arose during childbirth requires a largeattention from doctors. The second stage of labor is the most dangerous period, therefore, when distress occurs, it is necessary to perform an emergency cesarean section.
    fetal distress at birth

If the fetus is fixed too low in the uterus, the second stage of labor is accelerated using perineotomy or vacuum extraction methods.

Stage Severity Syndrome

Fetal distress syndrome is also classified according to the degree of severity in relation to the child. There are:

  1. Stage of compensation: its duration is about 3-4 weeks. Causes hypoxia, developmental delay. It is a chronic distress.
  2. The stage of subcompensation - lasts several days, causes severe hypoxia, and requires quick medical intervention.
  3. The stage of decompensation - characterized by the presence of asphyxia of the fetus (asphyxiation), requires immediate surgical intervention.

Antenatal fetal distress carries heavyconsequences for the life of the child. Hypoxia or asphyxia have a negative effect on the subsequent viability of the child. In the most severe cases, the baby may die. Fast and qualified medical assistance will help to minimize all the effects of the syndrome.

Causes of fetal distress during pregnancy

Indicate the exact cause of the syndrome,quite difficult. Most often influenced by a combination of several factors. Maternal health is most important in this matter. In the presence of the following diseases can be diagnosed with "hypoxia":

  • metabolic problems (obesity, diabetes);
  • kidney disease;
  • problems in the cardiovascular system (hypertension, heart disease, rheumatism);
  • liver diseases (viral hepatitis, cirrhosis, liver failure);
  • blood pathology (coagulation problems, anemia).

Also a great influence on the fetal state of the fetus has:

  • multiple pregnancies;
  • premature detachment or placental infarction;
  • improper lifestyle (alcohol, smoking, drugs);
  • preeclampsia;
  • infectious diseases (rubella, cytomegalovirus);
  • pathology at the genetic level.

The appearance of such a sign as distress syndrome is also influenced by the intake of certain medications.

Distress at birth

Oxygen starvation in the process of genericactivity is caused by short-term compression of the myometrium (there are blood vessels in it) during the contraction. As a result, the fetus does not receive enough blood, saturated with oxygen, and hypoxia develops. If the gestation period runs smoothly, then a slight oxygen deprivation in the active stage of labor will not harm the baby and its health.

The following factors can cause fetal distress at birth:

  • premature delivery;
  • multiple pregnancies;
  • narrow pelvis of the mother, not corresponding to the size of the fetal head;
  • large fruit;
  • weak or rapid labor activity;
  • uterine bleeding as a result of placental abruption.
    fetal antenatal distress

Distress of the fetus at birth must clearlybe monitored in order to provide necessary assistance in time, to minimize negative consequences for the health of the baby and mother. Most often this is a cesarean section or a vacuum extraction of the fetus.

Signs of fetal distress

The main manifestation of oxygen starvationis a heart rhythm disorder. Normally, cuts range from 110-170 beats per minute. They are clearly audible and rhythmic. Disturbance of the heartbeat during a contraction should recover from its termination.

An important criterion is the nature of movement of the fetus. In the passive stage of labor for half an hour, the child must move at least five times. In the active absence of perturbations is not a pathology.

signs of fetal distress

It is necessary to know the signs of antenatalfetal distress in order to provide the necessary help at the right time and save the baby’s life, as well as to minimize all the negative manifestations of hypoxia for its further development.

Consequences of the syndrome

Любая патология периода эмбриогенеза несет в It is dangerous for the child, and fetal distress is no exception. The consequences of this syndrome have a great influence on the state of all body systems. Most affected:

  • heart and circulatory system;
  • the brain (pathologies develop, and the work of the central nervous system is impaired);
  • respiratory system;
  • excretory system.
    prevention of fetal distress

Inadequate functioning of even one of the systems leads to a malfunction of the whole organism.

Diagnostic Methods

During pregnancy and during labor, certain diagnostic tests are performed showing the condition of the fetus:

  • Listening to the heartbeat: starting from the 20th week, the gynecologist at each reception listens to the heart of the fetus. This allows time to detect the presence of any violations.
  • Activity:for half the day the child should make about ten perturbations. For any violations (excessive or, conversely, insufficient activity of the child), it is necessary to inform the doctor immediately.
  • Indicators of the height of standing of the bottom of the uterus and the circumferenceabdomen: thus gynecologists determine the approximate weight of the fetus. If there is a lag in growth, it is also necessary to conduct a survey and find out if there are any developmental or pathological delays.

Early diagnosis and qualified assistance in most cases help to preserve the life and health of the baby.

Prevention of the syndrome

An important step in the prevention of any diseasesare precautionary measures. Prevention of fetal distress should be carried out before conception. This means that at the planning stage of pregnancy, it is necessary to conduct a full examination of parents and cure all existing diseases. In this case, the mother's body will be able to fully cope with the burden imposed on him - carrying a healthy baby.

В период беременности необходимо внимательно listen to your feelings. It is important to observe the correct mode of sleep and nutrition, give up bad habits, walk a lot and have a full rest. Then nothing will threaten the baby.

fetal distress consequences

Prevention of fetal distress syndrome will allowto avoid unnecessary disturbances and possible problems with the development and health of the child. That is why during pregnancy it is necessary to especially carefully monitor your health and well-being.

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