Interventions for emergencies during pregnancy

Signs for interventions during pregnancy:

1.Nonreassuring FHR pattern-

-Fetal bradycardia(FHR less than 110 beats/min for more than 10 minutes.

-Fetal tachycardia(FHR more than 160 beats/min for more than 10 minutes in term pregnancy

-Irregular FHR,abnormal sinus rhythm shown by internal monitor.

-Persistent decrease in baseline FHR wintout an identified cause.

2.Inadequate uterine relaxation-

-Intrauterine pressure more than 75 mm Hg.

-Contractions consistently lasting more than 90 seconds.

-Contraction interval less than 2 minutes.

3.Vaginal bleeding-

-Vaginal bleeding is bright red,dark red or in an amount that is excess than that during an usual cervical dilation.

-Continuous vaginal bleeding with FHR changes.

4.Infection-

-Foul smelling amniotic fluid.

-Straw coloured urine seen in mother.

-Fetal tachycardia more than 160 beats /min for more than 10 minutes.

5.Prolapse of cord-

-Patient reports feeling of cord during membranes rupture.

-Cord lies below the presenting part of the fetus.

-Cord protruding from the vagina.

-Breech presentation.

-Cord around the neck of the fetus.