Analyse pratique du RCF by Susan Gauge; Christine Henderson

By Susan Gauge; Christine Henderson

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Compression complète et persistante du cordon (par exemple procidence du cordon). 2. Hypotension maternelle (par exemple suite à une analgésie péridurale). 3. Hypertonie utérine. 4. À la suite d’un toucher vaginal ou d’une rupture artificielle des membranes, la décélération peut être due à l’augmentation de la pression sur la tête fœtale ou parfois à une hypertonie utérine liée à la libération de prostaglandines endogènes. Conduite à tenir. Elle vise à lever une éventuelle compression du cordon, à améliorer la perfusion utéroplacentaire et les échanges maternofœtaux placentaires : 1.

Un prélèvement de sang fœtal au scalp pour mesure du pH (et de l’excès de base) peut renseigner sur le degré d’urgence de la situation. Décélérations variables Définition Ces décélérations sont variables dans leur forme, leur profondeur, leur durée et leur chronologie par rapport à la contraction utérine. Ce sont de loin les plus fréquentes des décélérations. On distingue les décélérations variables typiques et les décélérations variables atypiques. Décélérations variables typiques Définition. 3.

Htm MacLennan A (1999) A template for defining a causal relationship between acute intrapartum events and cerebral palsy: international consensus statement. British Medical Journal 319: 1054-59 MCHRC (Maternal and Child Health Research Consortium) (1997) Confidential enquiry into stillbirths and deaths in infancy. Sixth annual report. MCHRC, London MCHRC (Maternal and Child Health Research Consortium) (1998) Confidential enquiry into stillbirths and deaths in infancy. Seventh annual report. MCHRC, London McRae MJ (1999) Fetal surveillance and monitoring: legal issues revisited.

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