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Fetal compromise 

Fetal compromise
Chapter:
Fetal compromise
Author(s):

Murray Enkin

, Marc J. N. C. Keirse

, James Neilson

, Caroline Crowther

, Lelia Duley

, Ellen Hodnett

, and Justus Hofmeyr

DOI:
10.1093/med/9780192631732.003.0016
Page of

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date: 23 October 2019

In general, the care of women whose fetus is diagnosed or suspected of being in jeopardy involves a choice between pre-emptive delivery and conservative care in order to avoid potentially serious consequences for the baby. Chapter 16 covers bed-rest in hospital and at home, abdominal decompression, the reasonable theoretical basis for investigating the usefulness of tocolytic treatment for suspected impaired fetal growth, the effect of calcium channel blockers on fetal growth, the effectiveness of maternal oxygen administration for both impaired fetal growth and non-reassuring fetal status, and that tocolytic therapy for acute non-reassuring fetal status improves fetal heart rate patterns. Further studies on all these methods are needed to evaluate substantive outcomes.

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