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Intrauterine Resuscitation During Labor

GARITE, THOMAS J. MD*; SIMPSON, KATHLEEN RICE PhD, RNC

Clinical Obstetrics and Gynecology: March 2011 - Volume 54 - Issue 1 - p 28–39
doi: 10.1097/GRF.0b013e31820a062b
Intrapartum Fetal Heart Rate Monitoring

Intrauterine resuscitative measures are commonly initiated during labor when the fetal heart rate (FHR) pattern is indeterminate or abnormal. The most effective use of these measures is directed at the presumed underlying cause. However, some FHR patterns are nonspecific, while others are such that intrauterine resuscitation will not remedy the situation. The goals of intrauterine resuscitation during labor are, at its best, to reverse any hypoxia that might lead to further deterioration, and at the very least to avoid prolonged periods of indeterminate or abnormal FHR patterns, which may cause unnecessary concern for caregivers and patients and unnecessary operative intervention.

*Department of Obstetrics and Gynecology, University of California, Irvine Pediatrix Medical Group, Sunrise, Florida

Department of Labor and Delivery, St. John's Mercy Medical Center, St. Louis, Missouri

Correspondence: Thomas J. Garite, MD, Professor Emeritus University of California Irvine, Director of Research and Education for Pediatrix Medical Group, University of California Irvine, Oak Creek, CO. e-mail: Thomas_Garite@pediatrix.com

© 2011 Lippincott Williams & Wilkins, Inc.