TY - CHAP M1 - Book, Section TI - Fetal Assessment A1 - Freeman, Brian S. A2 - Freeman, Brian S. A2 - Berger, Jeffrey S. Y1 - 2016 N1 - T2 - Anesthesiology Core Review: Part Two Advanced Exam AB - During labor and delivery, fetal hypoxemia can increase the risk of significant morbidity and mortality. Causes of fetal hypoxemia include any number of insults to uterine blood flow, such as normal contractions, umbilical cord compression, poorly functioning placentas, maternal hypotension, and chronic maternal vascular disease. Possible outcomes include cerebral palsy, neonatal seizures, neonatal hypoxic ischemic encephalopathy, and intrapartum fetal death, or stillbirth. Since there are no direct tests to diagnose fetal hypoxemia, electronic fetal monitoring (EFM) serves as an indirect assessment of the status of the fetus. Monitoring of the fetal heart rate (FHR) is the primary modality used to assess the well-being of the fetus. Normal FHR measurements will accurately predict fetal well-being, while abnormal tracings suggest hypoxemia and acidemia. Timely identification and intervention can prevent fetal death and neurologic injury. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/09 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1135742939 ER -