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Acute Fetal Hypoxia/Acidosis

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Abstract

Fetal hypoxia refers to the condition in which there is decreased oxygen concentration in fetal tissues, and this is insufficient to maintain normal cell energy production by way of aerobic metabolism. Oxygen is supplied to fetal tissues via a long pathway that involves the maternal respiratory system, maternal circulation, gas exchange at the placenta and finally the umbilical and fetal circulations (Fig. 2.1). Problems occurring at any of these levels may result in decreased oxygen concentration in the fetal circulation (hypoxaemia) and ultimately in fetal tissues (hypoxia).

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Suggested Reading

  • American College of Obstetricians and Gynecologists (1993) Fetal and neonatal neurologic injury (technical bulletin number 163). Int J Gynecol Obstet 41:97–101

    Article  Google Scholar 

  • American College of Obstetricians and Gynecologists (1996) Umbilical artery blood acid-base analysis (technical bulletin). Int J Gynecol Obstet 52:305–310

    Article  Google Scholar 

  • Ayres-de-Campos D, Arulkumaran S, for the FIGO Intrapartum Fetal Monitoring Expert Consensus Panel (2015a) FIGO consensus guidelines on intrapartum fetal monitoring: physiology of fetal oxygenation and the main goals of intrapartum fetal monitoring. Int J Gynecol Obstet 131:5–8

    Article  Google Scholar 

  • Ayres-de-Campos D, Spong CY, Chandraharan E, for the FIGO Intrapartum Fetal Monitoring Expert Consensus Panel (2015b) FIGO consensus guidelines on intrapartum fetal monitoring: cardiotocography. Int J Gynecol Obstet 131:13–24

    Article  Google Scholar 

  • Doria V, Papageorghiou A, Gustafsson A, Ugwumadu A, Farrer K, Arulkumaran S (2007) Review of the first 1502 cases of ECG-ST waveform analysis during labour in a teaching hospital. BJOG 114:1202–1207

    Article  CAS  PubMed  Google Scholar 

  • Giacoia GP (1997) Severe fetomaternal hemorrhage: a review. Obstet Gynecol Surv 52(6):372–380

    Article  CAS  PubMed  Google Scholar 

  • Giwa-Osagie OF, Uguru V, Akinla O (1983) Mortality and morbidity of emergency obstetric hysterectomy. Obstet Gynecol 4:94–96

    Article  Google Scholar 

  • Goswami K (2007) Umbilical cord prolapse. In: Grady K, Howell C, Cox C (eds) Managing obstetric emergencies and trauma. The MOET course manual, 2nd edn. RCOG Press, London

    Google Scholar 

  • Hofmeyr G, Cyna A, Middleton P (2004) Prophylactic intravenous preloading for regional analgesia in labour. Cochrane Database Syst Rev (4):CD000175

    Google Scholar 

  • Katz VL, Dotters DJ, Droegemueller W (1986) Perimortem cesarean delivery. Obstet Gynecol 68:571–576

    CAS  PubMed  Google Scholar 

  • Lin MG (2006) Umbilical cord prolapse. Obstet Gynecol Surv 61:269–277

    Article  PubMed  Google Scholar 

  • Low JA, Lindsay BG, Derrick EJ (1997) Threshold of metabolic acidosis associated with newborn complications. Am J Obstet Gynecol 177:1391–1394

    Article  CAS  PubMed  Google Scholar 

  • MacLennan A for the International Cerebral Palsy Task Force (1999) A template for defining a causal relation between acute intrapartum events and cerebral palsy: international consensus statement. BMJ 319:1054–1059

    Article  Google Scholar 

  • Morgan JL, Casey BM, Bloom SL, McIntire DD, Leveno KJ (2015) Metabolic acidemia in live births at 35 weeks of gestation or greater. Obstet Gynecol 126(2):279–283

    Article  CAS  PubMed  Google Scholar 

  • National Collaborating Centre for Women’s and Children’s Health (2007) Intrapartum care: care of healthy women and their babies during childbirth (clinical guideline). RCOG Press, London

    Google Scholar 

  • Norén H, Carlsson A (2010) Reduced prevalence of metabolic acidosis at birth: an analysis of established STAN usage in the total population of deliveries in a Swedish district hospital. Am J Obstet Gynecol 202(6):546e.1–546e.7

    Article  Google Scholar 

  • Rasmussen S, Irgens LM, Bergsjo P, Dalaker K (1996) The occurrence of placental abruption in Norway 1967-1991. Acta Obstet Gynecol Scand 75:222–228

    Article  CAS  PubMed  Google Scholar 

  • Royal College of Obstetricians and Gynaecologists (2011) Placenta praevia, placenta praevia accrete and vasa praevia: diagnosis and mangament (Green-top guideline no. 28). RCOG Press, London

    Google Scholar 

  • Rubod C, Deruelle P, Le Goueff F, Tunez V, Fournier M, Subtil D (2007) Long-term prognosis for infants after massive fetomaternal hemorrhage. Obstet Gynecol 110(2 Pt 1):256–260

    Article  PubMed  Google Scholar 

  • Ruth VJ, Raivio KO (1988) Perinatal brain damage: predictive value of metabolic acidosis and the Apgar score. BMJ 297:24–27

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • van de Riet JE, Vandenbussche FPHA, Le Cessie S, Keirse MJNC (1999) Newborn assessment and long-term adverse outcome: a systematic review. Am J Obstet Gynecol 180:1024–1029

    Article  PubMed  Google Scholar 

  • World Health Organization, UNFPA, UNICEF, World Bank (2003) Managing complications in pregnancy and childbirth. A guide for midwives and doctors. Prolapsed cord. WHO Press, Geneva. S-97–98. [www.who.int/reproductive-health/impac/index.html]

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Ayres-de-Campos, D. (2017). Acute Fetal Hypoxia/Acidosis. In: Obstetric Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-319-41656-4_2

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  • DOI: https://doi.org/10.1007/978-3-319-41656-4_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-41654-0

  • Online ISBN: 978-3-319-41656-4

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