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Management of foetal asphyxia by intrauterine foetal resuscitation.
Indian J Anaesth. 2010 Sep; 54(5):394-9.IJ

Abstract

Management of foetal distress is a subject of gynaecological interest, but an anaesthesiologist should know about resuscitation, because he should be able to treat the patient, whenever he is directly involved in managing the parturient patient during labour analgesia and before an emergency operative delivery. Progressive asphyxia is known as foetal distress; the foetus does not breathe directly from the atmosphere, but depends on maternal circulation for its oxygen requirement. The oxygen delivery to the foetus depends on the placental (maternal side), placental transfer and foetal circulation. Oxygen transport to the foetus is reduced physiologically during uterine contractions in labour. Significant impairment of oxygen transport to the foetus, either temporary or permanent may cause foetal distress, resulting in progressive hypoxia and acidosis. Intrauterine foetal resuscitation comprises of applying measures to a mother in active labour, with the intention of improving oxygen delivery to the distressed foetus to the base line, if the placenta is functioning normally. These measures include left lateral recumbent position, high flow oxygen administration, tocolysis to reduce uterine contractions, rapid intravenous fluid administration, vasopressors for correction of maternal hypotension and amnioinfusion for improving uterine blood flow. Intrauterine Foetal Resuscitation measures are easy to perform and do not require extensive resources, but the results are encouraging in improving the foetal well-being. The anaesthesiologist plays a major role in the application of intrauterine foetal resuscitation measures.

Authors+Show Affiliations

Department of Anaesthesiology, Rajeev Gandhi Institute of Medical Sciences, Kadapa, Andhra Pradesh, India.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21189876

Citation

Velayudhareddy, S, and H Kirankumar. "Management of Foetal Asphyxia By Intrauterine Foetal Resuscitation." Indian Journal of Anaesthesia, vol. 54, no. 5, 2010, pp. 394-9.
Velayudhareddy S, Kirankumar H. Management of foetal asphyxia by intrauterine foetal resuscitation. Indian journal of anaesthesia. 2010;54(5):394-9.
Velayudhareddy, S., & Kirankumar, H. (2010). Management of foetal asphyxia by intrauterine foetal resuscitation. Indian Journal of Anaesthesia, 54(5), 394-9. https://doi.org/10.4103/0019-5049.71032
Velayudhareddy S, Kirankumar H. Management of Foetal Asphyxia By Intrauterine Foetal Resuscitation. Indian journal of anaesthesia. 2010;54(5):394-9. PubMed PMID: 21189876.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of foetal asphyxia by intrauterine foetal resuscitation. AU - Velayudhareddy,S, AU - Kirankumar,H, PY - 2010/12/31/entrez PY - 2010/12/31/pubmed PY - 2010/12/31/medline KW - Foetal asphyxia KW - anaesthesiologist KW - management KW - resuscitation SP - 394 EP - 9 JF - Indian journal of anaesthesia VL - 54 IS - 5 N2 - Management of foetal distress is a subject of gynaecological interest, but an anaesthesiologist should know about resuscitation, because he should be able to treat the patient, whenever he is directly involved in managing the parturient patient during labour analgesia and before an emergency operative delivery. Progressive asphyxia is known as foetal distress; the foetus does not breathe directly from the atmosphere, but depends on maternal circulation for its oxygen requirement. The oxygen delivery to the foetus depends on the placental (maternal side), placental transfer and foetal circulation. Oxygen transport to the foetus is reduced physiologically during uterine contractions in labour. Significant impairment of oxygen transport to the foetus, either temporary or permanent may cause foetal distress, resulting in progressive hypoxia and acidosis. Intrauterine foetal resuscitation comprises of applying measures to a mother in active labour, with the intention of improving oxygen delivery to the distressed foetus to the base line, if the placenta is functioning normally. These measures include left lateral recumbent position, high flow oxygen administration, tocolysis to reduce uterine contractions, rapid intravenous fluid administration, vasopressors for correction of maternal hypotension and amnioinfusion for improving uterine blood flow. Intrauterine Foetal Resuscitation measures are easy to perform and do not require extensive resources, but the results are encouraging in improving the foetal well-being. The anaesthesiologist plays a major role in the application of intrauterine foetal resuscitation measures. SN - 0976-2817 UR - https://www.unboundmedicine.com/medline/citation/21189876/Management_of_foetal_asphyxia_by_intrauterine_foetal_resuscitation_ L2 - http://www.ijaweb.org/article.asp?issn=0019-5049;year=2010;volume=54;issue=5;spage=394;epage=399;aulast=Velayudhareddy DB - PRIME DP - Unbound Medicine ER -
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