Accepted at 12:49 a.m. Nov, 01, 2023 by dollajas
Author: cafelinked
Related Note: 1433986196774
Rationale for change

Question stem describing a pt. sudden drop in vitals from baseline soon after administration of epidurals consistent with epidural anesthesia, confirmed by recurrent late deceleration.

Screenshot: https://i.imgur.com/SUHXj5S.png

Text
What is the cause of late fetal heart rate decelerations?

{{c1::Uteroplacental insufficiency → insufficient fetal blood flow / oxygenation}}
Extra
- Hence can be caused by placental abruption, excessive uterine contractions, maternal hypotension, maternal anaemia, IUGR (intrauterine growth restriction)

- Associated with progressive fetal hypoxia and acidemia



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#AK_Step2_v12::#UWorld::105834
#AK_Step2_v12::!Shelf::ObGyn::no_dupes::only_step2 #AK_Step2_v12::Original_decks::Dorian::obgyn::ome::ob::antenatal_testing #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#SketchyOBGYN::01_Prenatal_Care_&_Early_Pregnancy::01_Intro_to_OB::04_Fetal_Heart_Tracings #AK_Step2_v12::#UWorld::COMLEX::102809 !AK_UpdateTags::AnKing_Image::AhmedA #AK_Step2_v12::#UWorld::COMLEX::102907 !AK_UpdateTags::AnKing_Image::Mujeeb::FHR_tracings #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::2obgyn #AK_Step2_v12::!Shelf::ObGyn::no_dupes #PANCE::EOR::WOMENS_HEALTH AnkiHub_ImageReady::Extra #PANCE::REPRODUCTIVE::pregnancy !AK_UpdateTags::^temporary::ImageFix::01::done #AK_Step2_v12::#Resources_by_rotation::ObGyn::ome::ob::antenatal_testing AnkiHub_ImageReady::Text #AK_Step2_v12::#AMBOSS::jr0_Sh #AK_Step2_v12::#UWorld::Step::15115 !AK_UpdateTags::AnKing_Image::!Subjects::Reproductive::FHR_tracings_overview #AK_Step2_v12::#AMBOSS::Pr0Whh #AK_Step2_v12::#B&B::11_Obstetrics_and_Gynecology::01_Obstetrics::15_Intrapartum_Fetal_Monitoring::Extra #AK_Step2_v12::#OME::Clinical::05_Obstetrics_and_Gynecology::02_Obstetrics::04_Labor_and_Delivery::02_Antenatal_Testing_and_Intrapartum_Surveillance #AK_Step2_v12::#OME::05_Obstetrics_and_Gynecology::02_Obstetrics::04_Labor_and_Delivery::02_Antenatal_Testing_and_Intrapartum_Surveillance #AK_Step2_v12::#AMBOSS::_r05Ph #AK_Step3_v12::#UWorld::12579 #AK_Step2_v12::#Subjects::Obstetrics_&_Gynecology::02_Obstetrics_REDO::02_Delivery::Infant::Fetal_Heart_Tracing::Decelerations #AK_Step3_v12::#UWorld::12642 !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::OBGYN::1-OME #AK_Step2_v12::#UWorld::Step::15618 #AK_Step2_v12::#SketchyOBGYN::02_Pregnancy_Complications::02_Fetal_Complications_of_Pregnancy::03_Intrauterine_Growth_Restriction