with a viral count above 1,000 should be offered cesarean delivery at 38 weeks (or earlier if they go into labor). 108 Additionally, 13 of 19 major congenital anomalies were detected with ultrasonography in this same group. Increases in the primary cesareans with no specified indication were faster than in the overall population and appear to be the result of changes in obstetric practice rather than changes in the medical risk profile or increases in maternal request. The cesarean delivery has evolved from a vain attempt performed to save the fetus to one in which physician and patient both participate in the decision-making process, striving to achieve the most benefit for the patient and her unborn child. 89 None of the mothers received antibiotics or corticosteroids. 67 Manning modified his original design to exclude the NST unless one or more of the dynamic ultrasonographic components was abnormal. Interestingly, when compared with 6536 tests on term fetuses with normal outcomes, Baskett found that 1587 tests on postdate fetuses (4244 weeks' gestation which also had good outcomes, were significantly more likely to have a NR-NST, abnormal FB and FT, and decreased AFV.
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77 Other investigators have not noted an increased risk of fetal distress or death with variable decelerations and worry that undue attention to them will lead to inappropriate intervention. Fetuses were delivered for a persistently low BPP ( 7 on two examinations, 2 hours apart, with no FB and a NR-NST). For further information, see Abnormal Labor. The C-section is what is known as a confounding factor. 51 In these seven poor-outcome cases, absent FT was also associated with a NR-NST, absent FB, and absent. Two general profiles for biophysical testing have developed. A pocket that measures 2 cm or more in vertical diameter Score 1: A pocket that measures less than 2 cm but more than 1 cm in vertical diameter Score 0: Crowding of fetal small parts.
Go to Perimortem Cesarean Delivery and Vaginal Birth After Cesarean Delivery for complete information on these topics. For example, the first activity to appear, FT, at about.58.5 weeks, is also presumably the last activity to disappear with progressively worsening hypoxia.