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Extra info for Anesthetic and obstetric management of high-risk pregnancy, Edition: 3rd ed

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Treatment of fetal heart rate patterns. Bradycardia, late decelerations Variable decelerations Late decelerations Decrease in variability Cause Hypotension Uterine hyperstimulation Umbilical cord compression Head compression Decreased uterine blood flow Prolonged asphyxia 1. There were several definitions of FHR patterns, making a comparison of data from various centers difficult. 2. Fetal heart rate patterns had a poor predictive value on outcome. 3. A significant number of neonates with poor outcome had no monitoring abnormalities.

JAMA 1972;219:1322. Krebs HB, Petres RE, Dunn LJ, et al. Intrapartum fetal heart rate monitoring. I. Classification and prognosis of fetal heart rate patterns. Am J Obstet Gynecol 1979;133:762. ACOG Technical Bulletin. Fetal heart rate patterns: monitoring, interpretation and management. Int J Obstet Gynecol 1995;51:65. ACOG Committee Opinion. Inappropriate use of terms fetal distress and birth asphyxia. Int J Obstet Gynecol 1998;61:309. Parer JT, King T. Fetal heart rate monitoring: is it salvageable?

Rankin JHG, Meschia G, Makowski EL, et al. Relationship between uterine and umbilical venous PO2 in sheep. Am J Physiol 1971; 220:1688–1692. 26. Longo LD, Hill EP, Power GG. Theoretical analysis of factors affecting placental O2 transfer. Am J Physiol 1972;222:730–739. 27. Meschia G. Transfer of oxygen across the placenta. In: Gluck L (ed) Intrauterine Asphyxia and the Developing Fetal Brain. Chicago: Year Book Medical, 1977:109–115. 28. Russell JC, Cooper CM, Ketchum CH, et al. Multicenter evaluation of TDx test for assessing fetal lung maturity.

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