By Sanjay Datta
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Additional resources for Anesthetic and obstetric management of high-risk pregnancy
Am J Obstet Gynecol 1985;151:859–867. 42. Boddy K, Dawes GS, Fisher RL, et al. The effects of pentobarbitone and pethidine on foetal breathing movements in sheep. Br J Pharmacol 1976;57:311–317. 1. Prepartum and Intrapartum Fetal Monitoring 43. Piercy WN, Day MA, Neims AH, et al. Alteration of ovine fetal respiratory-like activity by diazepam, caffeine and doxapram. Am J Obstet Gynecol 1977;127:43–49. 44. Kitterman JA, Liggins GC, Clements JA, et al. Stimulation of breathing movements in fetal sheep by inhibitors of prostaglandin synthesis.
Nonreactive nonstress test, with no accelerations in fetal heart rate with fetal movement (FM). 1. Prepartum and Intrapartum Fetal Monitoring 2. Positive: persistent late decelerations (even when the contractions are less frequent than three contractions within 10 min), possible absence of FHR variability. 3. Suspicious: intermittent late deceleration or variable decelerations, abnormal baseline FHR 4. Unsatisfactory: poor quality recording or inability to achieve three contractions within 10 min 5.
The fetal blood sample is obtained from the presenting part (scalp or buttock) during labor. The instrumentation and technique of fetal blood collecting are described in many standard textbooks. In this brief discussion, mention is made of the indications for sampling as well as the prognostic significance of values obtained. 25 mL of blood, most institutions obtain a minimal amount of blood for pH determination. The pH value alone does not allow differentiation between respiratory and metabolic acidosis.