Fetal distress and clinical care.docVIP

 PAGE \* MERGEFORMAT 8 Fetal distress and clinical care [Keywords:] fetal distress maternal care Fetal distress (fetal distress) refers to fetal hypoxia and acidosis and those who endanger the health and lives of fetuses. Fetal distress divided into acute and chronic fetal distress, fetal distress, acute fetal distress in labor occurred after chronic fetal distress occurred in the third trimester of pregnancy. (A) cause Those who can affect the mother, fetal gas exchange between the factors that can lead to fetal distress. Mainly the following reasons: 1. Lack of oxygen content in maternal blood of pregnant women suffering from heart disease with congestive heart failure, severe lung disease (severe acute pneumonia or tuberculosis), gestational hypertension, high blood pressure, chronic nephritis, severe anemia, acute hemorrhagic shock, heat disease, carbon monoxide poisoning, diabetes and other cardiovascular disease, or maternal smoking, excessive use of antihypertensive drugs, using lots of sedatives or anesthetics. 2. Fetal factors fetal cardiovascular diseases, certain fetal malformations, fetal hemolysis, fetal growth restriction, twin transfusion syndrome. 3. Umbilical cord is too long or too short of factors, winding, knotting, twisting, narrow, hematoma, and other fan-like attachment can lead to umbilical cord blood for the delay. 4. Placental factors are placenta previa, placental abruption, abnormal placental shape (looks like placenta or placenta profile), amniotic chorioamnionitis, placental extensive infarction. 5. Uterine ischemia, hypoxia multiple pregnancy and polyhydramnios cause excessive expansion of the uterus, the abuse of oxytocin causes uterine abnormalities (uterine too frequent, too strong or spastic contraction of the uterus), amniotic fluid or too little water to make the sheep close to the uterus matrix from the uterus can be ischemia and hypoxia affect the uterine placental