Following fetal tocographic finding was seen in a 30-year- old female patient in labor. What does it suggest?
A. Early cord compression
B. Fetal distress
C. Head compression
D. Fetal anemia
Ans: b. Fetal distress
(Ref: Williams 24/e p340)
- Late decelerations, typical of fetal distress can be seen in the given fetal tocography.
- Includes description of uterine activity (contractions), baseline fetal heart rate, baseline FHR variability, presence of accelerations, periodic or episodic decelerations
- 3 primary mechanisms by which uterine contractions can cause a decrease in fetal heart rate are compression of fetal head, umbilical cord & uterine myometrial vessels.