sprint123
Forum Guru
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1. What is the normal Long-term variability of fetal heart rate? I mean decreased long-term variability represents what?
2.Consider this case
28 weeks pregnant + Strong uterine contractions + PROM
Kapaln says Tocolytics are contraidicated in PROM if contractions are present! UW contradicts it!
Wat to do next?
Thanx!
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| khorshid
Forum Guru
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as far as I remember for the second q UW also says tocolysis is contraindicated in prom. I guess you can give bed rest, hydration, and monitor fetus, and also steroid injection, but if it really leads to labor you should not prevent it. also measure AFI.
I didn't get your first q though.
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| sprint123
Forum Guru
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Thanx khorshid--I was not sure of the term "DECREASED LONG-TERM VARIABILITY"--What does it mean?
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| cirus
Forum Guru
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if u mean variable changes (ie that they r not related to cont, sometimes early, somtimes late), this means that there is compression of the umbilical cord leading to fetal distress..
first thing is to change the mothers position, & give her an O2 mask, still persistent--> CS right away.
in case of late, this means placental insufficiency (mc-->abrubtion)
in case of early, this means that the fetal head is squeezed with the uterine contractions, its relatively benign..
for the second q, as far as I know its contraindicated to give tocolytics if rupture of memb occurs & i got the same q wrong on uw but another one with almost the same present was not to give, so ill stick to kaplan..
hope that helps..
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