Pregnant Lady In Distress
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Medically Reviewed by Andrei Rebarber, M.D. on November 16, 2020
A quick delivery is usually in order to relieve your baby's distress.
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In many cases, pregnancy and birth are long and uncomfortable, but ultimately uneventful processes (that is, up until your baby’s big debut). But sometimes, pregnancy or labor complications can cause an unborn baby to go into fetal distress, which can be dangerous and may require immediate delivery.
Here's what you need to know about this relatively rare complication, including tips to reduce your risk.
Fetal distress (what doctors prefer to call "nonreassuring fetal status") is when your practitioner is concerned that your baby's oxygen supply may be compromised in utero before or during labor . Oxygen deprivation can result in decreased fetal heart rate and requires immediate action to protect your baby.
Fetal distress may be caused by a number of factors, including:
You may be experiencing signs of fetal distress if you or your doctor notes that:
The only way to know for sure that your baby’s in fetal distress is with a continuous fetal monitor, performing a nonstress test or with an ultrasound and performing a biophysical profile.
Several conditions may put your baby at increased risk for fetal distress, including:
If you've noticed a change in fetal activity or your kick count is off and you're concerned, call your practitioner right away. Also reach out immediately if your water has broken and is greenish-brown, which means it’s stained with meconium.
When you arrive at your practitioner's office or the hospital, you’ll get placed on a fetal monitor to check whether your baby is actually showing signs of distress. You may also receive supplemental oxygen to help oxygenate your blood, as well as IV fluids, which should help regulate your baby's heart rate. (These same steps will be taken if your doctor notices your baby’s in distress during a routine checkup or nonstress test.)
If you’re already in labor, you may be told to switch positions. You may also be taken off of contraction-inducing drugs (oxytocin) or given a medication to slow contractions.
If these techniques don't work, the best treatment is a quick delivery, often by C-section .
While you can’t prevent fetal distress, you can lower the odds it’ll happen to you by going to all of your prenatal appointments and following your doctor’s recommendations for a healthy pregnancy. These tips are especially important if you’ve been diagnosed with a condition that increases your risk of fetal distress, like preeclampsia or gestational diabetes.
From the What to Expect editorial team and Heidi Murkoff, author of What to Expect When You're Expecting . What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy .
The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. This educational content is not medical or diagnostic advice. Use of this site is subject to our terms of use and privacy policy . © 2021 Everyday Health, Inc
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Objective:
To estimate the rate of acute respiratory distress syndrome (ARDS) in pregnant patients as well as to investigate clinical conditions associated with mortality.
Methods:
We used the Nationwide Inpatient Sample from 2006 to 2012 to identify a cohort of pregnant patients who underwent mechanical ventilation for ARDS. A multivariate model predicting in-hospital mortality was created.
Results:
A total of 55,208,382 hospitalizations from the 2006-2012 Nationwide Inpatient Samples were analyzed. There were 2,808 pregnant patients with ARDS who underwent mechanical ventilation included in the cohort. The overall mortality rate for the cohort was 9%. The rate of ARDS requiring mechanical ventilation increased from 36.5 cases (95% confidence interval [CI] 33.1-39.8) per 100,000 live births in 2006 to 59.6 cases (95% CI 57.7-61.4) per 100,000 live births in 2012. Factors associated with a higher risk of death were prolonged mechanical ventilation (adjusted odds ratio [OR] 1.69, 95% CI 1.25-2.28), renal failure requiring hemodialysis (adjusted OR 3.40, 95% CI 2.11-5.47), liver failure (adjusted OR 1.71, 95% CI 1.09-2.68), amniotic fluid embolism (adjusted OR 2.31, 95% CI 1.16-4.59), influenza infection (OR 2.26, 95% CI 1.28-4.00), septic obstetric emboli (adjusted OR 2.15, 95% CI 1.17-3.96), and puerperal infection (adjusted OR 1.86, 95% CI 1.28-2.70). Factors associated with a lower risk of death were: insurance coverage (adjusted OR 0.56, 95% CI 0.37-0.85), tobacco use (adjusted OR 0.53, 95% CI 0.31-0.90), and pneumonia (adjusted OR 0.70, 95% CI 0.50-0.98).
Conclusion:
In this nationwide study, the overall mortality rate for pregnant patients mechanically ventilated for ARDS was 9%. The rate of ARDS requiring mechanical ventilation increased from 36.5 cases (95% CI 33.5-41.8) per 100,000 live births in 2006 to 59.6 cases (95% CI 54.3-65.3) per 100,000 live births in 2012.
The authors did not report any potential conflicts of interest.
Flowchart of study participants. Rush.…
Rate of mechanical ventilation for…
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https://www.whattoexpect.com/pregnancy/pregnancy-health/complications/fetal-distress.aspx
https://pubmed.ncbi.nlm.nih.gov/28178046/
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Pregnant Lady In Distress
