What interventions do you do for variable decelerations?
Late decelerations treatment and management
- Lie down in the left lateral, knee-chest, or right lateral position to relieve compression of the large vein (or vena cava) by your pregnant uterus.
- Your doctor might administer oxygen in response to late decelerations.
How do you explain variable decelerations?
[1] This frequency represents an increase since 1980 when its use was about only 45% of women in labor. [1] Intermittent, variable decelerations, defined as decelerations occurring with less than half of contractions, are the most common fetal heart rate abnormality that takes place in labor.
What can cause variable decelerations?
Common causes of variable decelerations include vagal reflex triggered by head compression during pushing and cord compression such as that caused by short cord, nuchal cord, body entanglement, prolapsed cord, decreased amniotic fluid, and fetal descent.
Are there any corrective actions for early decelerations?
As early decelerations are not associated with decreased fetal oxygenation or metabolic acidosis, they do not require any treatment. However, it is crucial to continue to monitor FHR tracings throughout labor to recognize any patterns that may be a concern regarding changes in the acid-base status of the fetus.
What shape are variable decelerations?
Variable decelerations during labor are a common occurrence. Baroceptor mediated responses to periodic interruption of flow through the umbilical veins and artery result in a characteristic rapid decrease and subsequent return in FHR resulting in a narrow “V”-shaped response.
What is deceleration in NST?
Decelerations are temporary drops in the fetal heart rate. There are three basic types of decelerations: early decelerations, late decelerations, and variable decelerations. Early decelerations are generally normal and not concerning. Late and variable decelerations can sometimes be a sign the baby isn’t doing well.
What are the nursing interventions for early decelerations?
As long as the FHR stays within normal range (110–160 bpm), early decelerations are nothing to worry about. They are typically caused by the compression of the head in the birth canal. When observing early decelerations, no interventions are needed, and the nurse should continue to monitor the patient.
What do early decelerations mean?
Early deceleration is defined as a symmetrical decrease and return of fetal heart rate (FHR) that is associated with a uterine contraction.
What are recurrent variable decelerations?
Recurrent variable decelerations (>50 percent of contractions) Umbilical cord compression. May be associated with impending acidemia, especially if progressive increase in depth, duration, and frequency. Moderate variability and/or accelerations suggest fetus is not currently acidemic.