Rejected at 4:48 a.m. May, 10, 2024 ] by thomas.holmes
Author: mohannadkh10
Related Note: 1547242138644
Rationale for change

Treatment for both late and recurrent variable deceleration and late type is with intrauterine resus (including aminoinfusion)

it's not only for rec variable, so i added the late to the cloze or you can consider having only recurrent inside the cloze instead

"Late deceleration
Uteroplacental insufficiency (leads to fetal hypoxia and acidosis)
Decrease in the FHR following the maximum contraction curve
Onset to nadir is gradual (≥ 30 seconds).

Treatment: Intrauterine resuscitation
If FHR pattern does not improve despite intrauterine resuscitation: emergency cesarean delivery [29]"
Source: AMBOSS - https://next.amboss.com/us/article/3O0SHT#Ikw1OTBjM2RkNGQzMjhmYTcxY2I2NDM0MzFjYWY5Zjk1NCI=

Rejection reason

Don't think this is correct. Amboss doesn't specifically mention amnioinfusion for late decelerations, just says intrauterine resuscitation, which is a broad term that includes many potential different maneuvers such as sitting mother up, putting her in the left lateral decubitus position, IV fluids, oxygen, etc. Amnioinfusion is most commonly indicated for oligohydramnios which can cause variable decelerations due to cord compression. Late decelerations are due to placental insufficiency, so it's not clear amnioinfusion would help.

Text Text
Extra
Lecture Notes
Empty field
Missed Questions
Empty field
Pathoma
Empty field
Boards and Beyond
Empty field
First Aid
Empty field
Sketchy
Empty field
Sketchy 2
Sketchy Extra
Empty field
Picmonic
Empty field
Pixorize
Empty field
Physeo
Empty field
Bootcamp
Empty field
OME
Additional Resources
Empty field
One by one
Empty field
#AK_Step2_v12::!Shelf::#Cards_AnKing_Did::2obgyn #AK_Step2_v12::#OME::05_Obstetrics_and_Gynecology::02_Obstetrics::04_Labor_and_Delivery::05_Obstetrical_Operations #AK_Step2_v12::#Resources_by_rotation::ObGyn::ome::ob::ob_operations #AK_Other::!AK_UpdateTags::AnKing_Image::!Subjects::Reproductive::FHR_tracings_overview #AK_Step2_v12::Original_decks::Dorian::obgyn::ome::ob::ob_operations #AK_Step2_v12::#B&B::11_Obstetrics_and_Gynecology::01_Obstetrics::15_Intrapartum_Fetal_Monitoring::Extra #AK_Other::!AK_UpdateTags::AnKing_Image::Mujeeb::FHR_tracings #AK_Step2_v12::#AMBOSS::EI08eh #AK_Step2_v12::#Subjects::Obstetrics_&_Gynecology::02_Obstetrics_REDO::02_Delivery::Infant::Antepartum_Fetal_Surveillance::Management::Amniofusion #AK_Step2_v12::#OME::Clinical::05_Obstetrics_and_Gynecology::02_Obstetrics::04_Labor_and_Delivery::05_Obstetrical_Operations #AK_Step2_v12::!Shelf::ObGyn::no_dupes::only_step2 #AK_Step2_v12::#SketchyOBGYN::01_Prenatal_Care_&_Early_Pregnancy::01_Intro_to_OB::04_Fetal_Heart_Tracings #AK_Step2_v12::#SketchyOBGYN::03_Labor_&_Delivery::02_Preterm_Labor_&_Delivery::01_PROM_&_PPROM #PANCE::EOR::WOMENS_HEALTH #AK_Other::#AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #PANCE::REPRODUCTIVE::pregnancy