Maternal-Newborn

Fetal Heart Rate Decelerations

Fetal Heart Rate Decelerations

Monitoring patterns in fetal heart rate that indicate the fetus's oxygenation status during labor.

Early Decelerations

  • Gradual decrease mirroring the contraction
  • Indicates head compression
  • Considered benign; no intervention required

Variable Decelerations

  • Abrupt decrease in FHR; V, U, or W shape
  • Indicates cord compression
  • Reposition mother to alleviate cord pressure

Late Decelerations

  • Gradual decrease starting after the peak of a contraction
  • Indicates uteroplacental insufficiency
  • Immediate intervention: Turn to side, increase IVF, stop oxytocin, administer O2

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