A primigravida is admitted at 38 weeks of gestation in labor. Admission NST is reactive. However, during active labor, the baseline FHR increased from 140 to 160 bpm with presence of variable decelerations during contractions. The patient was taken for emergency LSCS. The most important reason for the decision is:
Ans. is c, i.e. Non reassuring FHR PatternVariable deceleration indicates cord compression and such decelerations are common during labor and do not indicate fetal compromise.Variable Decelerations which are > 60 beats in depth or > 60 secs in duration or take a longer time to return to baseline rate are non reassuring and warrant immediate delivery.
Fetal acidemia
Fetal distress
Non reassuring FHR Pattern
Fetal hypoxic encephalopathy
Diagnosis in Obstetrics