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Umbilical cord prolapse should always be considered a possibility when there is a sudden decrease in fetal heart rate or variable decelerations, particularly after the rupture of membranes. With overt prolapses, the diagnosis can be confirmed if the cord can be felt on vaginal examination.
Amnioinfusion is a method in which isotonic fluid is instilled into the uterine cavity.. It was introduced in the 1960s as a means of terminating pregnancy and inducing labor in intrauterine death, but is currently used as a treatment in order to correct fetal heart rate changes caused by umbilical cord compression, indicated by variable decelerations seen on fetal heart rate monitoring.
Nuchal cord, when the umbilical cord is (tightly) around the neck of the fetus [2]; Entanglement of the cord [2]; Knot in the cord [2]; Cord prolapse, where the umbilical cord exits the birth canal before the baby, which can cause cord compression.
Presence of late decelerations with fewer than 50% of contractions or significant variable decelerations. Requires repeat testing on following day. [1] Equivocal—Tachysystole: Presence of contractions that occur more frequently than every 2 minutes or last longer than 90 seconds in the presence of late decelerations.
When variable decelerations are associated with uterine contractions, their onset, depth, and duration commonly vary with successive uterine contractions. [citation needed] Prolonged deceleration: a decrease in FHR from baseline of at least 15 bpm, lasting at least 2 minutes but less than 10 minutes. A deceleration of at least 10 minutes is a ...
Treatment primarily consists of intrauterine resuscitation, the goal of which is to restore oxygenation of the fetus. [6] This can involve improving the position, hydration, and oxygenation of the mother, as well as amnioinfusion to restore sufficient amniotic fluid, delaying preterm labor contractions with tocolysis , and correction of fetal ...
When vehicles collide, the damage increases with the relative velocity of the vehicles, the damage increasing as the square of the velocity since it is the impact kinetic energy (1/2 mv 2) which is the variable of importance. Much design effort is made to improve the impact resistance of cars so as to minimize user injury.
The accordion effect in road traffic refers to the typical decelerations and accelerations of a vehicle when the vehicle in front decelerates and accelerates. These fluctuations in speed propagate backwards and typically get bigger and bigger further down the line, resulting in reduced throughput of road traffic. [1]