Foetal distress

Question 1

What are some acute causes of foetal distress

Answer 1

• Uterine hyperstimulation
• Abruption
• Cord prolapse
• Uterine rupture
• Feto-maternal haemorrhage
• Regional anaesthesia
• Vasa praevia

Question 2

Chronic causes of foetal distress

Answer 2

• Placental insufficiency
• Foetal anaemia

Question 3

What are some management options for foetal distress

Answer 3

• Maternal assessment - ABCDE
• Change maternal position
• Stop contractions - Stop IV oxytocin, consider tocolysis (Terbutaline)
• IV fluids
• Scalp stimulation
• Delivery (C-section or instrumental birth)