Very small changes in pH may significantly affect the function of various fetal organ systems, such as the central nervous system, and the cardiovascular system with associated fetal distress and poor Apgar score. Review of existing data on maternal-fetal acid-base balance in pregnancy highlight the factors that are associated with derangements of the acid-base status and the impact of the dera...

INTRODUCTION Some types of antenatal maternal psychological distress may be associated with reduced fetal growth and birthweight. A stress-mediated reduction in placental blood flow has been suggested as a mechanism. Previous studies have examined this using ultrasound-derived arterial resistance measures in the uterine (UtA) and umbilical (UA) arteries, with mixed conclusions. However, a reduc...

Subdural injection of epidural anesthesia is rare and is usually undiagnosed during epidural anesthesia causing severely delayed maternal hypotension, hypoxia, and fetal distress. A 38-year-old primiparous woman was administered epidural labor analgesia at 40(+6) weeks' gestation, and developed progressive maternal respiratory depression, bradycardia, and hypotension after accidental subdural a...

The objectives of the study were to compare the progress of labour, need of medical and surgical interventions and fetomaternal outcome in primigravidae with cord round neck versus without cord round neck at term or onset of labour. This study was performed at Mahila chiktsalaya, SMS Medical college Jaipur l from dec 2010 to December 2011. A total of 200 cases were studied over a 1 yr period. A...

In a prospective audit of the obstetric management of 1210 consecutive deliveries the association was investigated between the need for operative delivery for fetal distress during labour and the condition of the newborn infant. Operative delivery was performed for only 11.5% of the newborn infants with severe acidosis at birth (umbilical artery pH less than 7.12, base deficit greater than 12 m...

Background: To know the adverse pregnancy outcome in term low-risk pregnancy with oligohydramnios (amniotic fluid index [AFI] <5). Materials and Methods: A case-control study on pregnancy outcome in 50 women with the ultrasound diagnosis of oligohydramnios after 37 completed weeks of gestation compared with 50 controls with no oligohydramnios matched with age and parity. Results: Increased chan...

AIM To quantitatively analyze actocardiography as a method to differentiate between active and resting fetal states. METHODS We established five new quantitative parameters for actocardiogram; they include duration, occupancy, and frequency of movement bursts, and fetal heart rate acceleration to movement ratio (A/B ratio) in duration and number. These parameters were analyzed and compared in...

Fetal heart tone monitoring is a frequently used tool during nonobstetric maternal surgery to evaluate the immediate well-being of a fetus. We present a case of a parturient requiring an emergency craniotomy, during which fetal heart tone monitoring demonstrated fetal distress patterns. A simultaneous emergency craniotomy and emergency cesarean delivery proceeded with favorable outcomes for bot...