Intra Uterine Hypoxia

Subject: Midwifery III (Theory)

Overview

The oxygenation of the fetus is dependent on the mother's oxygenation, an acceptable placental location, placental function, fetoplacental circulation, and enough fetal hemoglobin. The absence or impairment of any of these components will result in a reduction of oxygen delivery to the fetus, resulting in intrauterine hypoxia due to a reduction in the amount of oxygen. True knot, hypertonic uterine activity, over-stimulation of the uterus due to oxytocin medications, mother's heart and respiratory disease, post maturity, diabetic mother, and eclampsia are all causes of intrauterine hypoxia. Keeping the mother in the left lateral position to prevent ven caval compression, taking FHS 1/2 hourly in the first stage of labor, and every 15 minutes during labor are all part of the prevention and management. Inform the pediatrician and obstetrician that the os is ready for instrumental birth.

The fetus's oxygenation is dependent on the mother's oxygenation, an acceptable placental location, placental function, fetoplacental circulation, and enough fetal hemoglobin. The absence or impairment of any of these components will result in a decrease in oxygen delivery to the fetus, resulting in intrauterine hypoxia due to a decrease in the amount of oxygen.

Causes

  • realistic binding
  • uterine hypertonic action
  • uterine overstimulation caused by oxytocin medications
  • mother's heart and respiratory problems
  • general anesthesia induction
  • Eclampsia, diabetic mother, and post-maturity
  • a string around the neck

Clinical features

  • Initially, there was a fast and erratic heartbeat.
  • the lower the FHS.
  • beverage and stained with meconium
  • Fetal movement is excessive.

Prevention and Management

  • To avoid naval compression, place and keep the mother in the left lateral position.
  • Take FHS every 15 minutes during labor and every half hour during the first stage of labor.
  • Prepare the resuscitation instruments.
  • Keep an eye out for maternal distress and give her oxygen, as well as encourage her to eat a liquid diet.
  • Inform the pediatrician and obstetrician that the os is fully dilated and that an instrumental birth is planned.
  • Suction the airway and provide oxygen once the baby is delivered.
  • If the infant does not cry, flick the baby's sole to keep the baby warm.
Things to remember
  • The fetus's oxygenation is dependent on the mother's oxygenation, an acceptable placental location, placental function, fetoplacental circulation, and enough fetal hemoglobin.
  • The absence or impairment of any of these components will result in a decrease in oxygen delivery to the fetus, resulting in intrauterine hypoxia due to a decrease in the amount of oxygen.
  • True knot, hypertonic uterine activity, over-stimulation of the uterus due to oxytocin medications, mother's heart and respiratory disorders, post maturity, diabetes mother, and eclampsia are all causes of intrauterine hypoxia.
  • Keeping the mother in the left lateral posture to prevent ven caval compression, taking FHS 1/2 hourly in the initial stage of labor and every 15 minutes during labor are all part of the prevention and treatment.
  • Inform the pediatrician and obstetrician that the os is fully prepared for instrumental birth.
Questions and Answers

The fetus's ability to breathe depends on the mother's ability to do so, as well as the fetoplacental circulation, placental function, and fetal hemoglobin levels. Intrauterine hypoxia will arise from a decrease in the amount of oxygen provided to the fetus as a result of any of these components being absent or impaired.

  • Real knot
  • Hypertonic uterine activity
  • Uterine overstimulation brought on by oxytocin medications.
  • Mother's respiratory and heart conditions
  • General anesthesia is induced.
  • Postmaturity, mother with diabetes, and eclampsia
  • The neck is bound by a string.
  • To avoid vencaval compression, position and maintain the mother in the left lateral position.
  • Take FHS every 15 minutes throughout labor and every half hour throughout the first stage.
  • Prepare the necessary resuscitation equipment.
  • Watch for signs of maternal distress, give oxygen, and encourage a liquid diet.
  • When the ovaries are fully dilated, inform the pediatrician and obstetrician and be ready for an assisted delivery.
  • Suction should be used to clear the baby's airway and provide oxygen after delivery.
  • Flick the baby's sole if they don't cry, and keep them warm.

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