Doctors and nurses must monitor the mother’s and baby’s health closely during labor and delivery. Many things can go wrong without any warning during the process of giving birth. However, doctors also have a duty to monitor for signs of fetal distress throughout a woman’s pregnancy. Numerous conditions can complicate pregnancy and put the unborn baby at risk. Failing to monitor the baby and the mother at all stages of pregnancy, delivery, and childbirth can result in birth injuries or death of the baby and the mother.
Common Signs of Fetal Distress
Health care providers have a duty to monitor for signs of fetal distress. At the first sign of distress, doctors and nurses must take immediate action to prevent injury or death to the unborn baby or the mother. Some common signs of fetal distress include, but are not limited to:- A sudden stop or a significant decrease in the baby’s movement
- Unusually low or high fetal heart rates
- Very low or very high maternal weight gain
- Meconium in the amniotic fluid
- High levels of lactate in the infant’s blood
- Cramping or vaginal bleeding
Common Causes of Fetal Distress
Many health conditions and incidents during pregnancy can cause fetal distress. Physicians and nurses should question the mother during each visit about specific conditions that could lead to fetal distress. Nurses and doctors should use fetal monitors to watch the baby’s heart rate and other vitals. Some monitors are attached to the mother’s abdomen. However, monitors may be attached to the infant’s head through the mother’s vagina during difficult births. Some of the most common causes of fetal distress include, but are not limited to:- Failing to monitor the infant’s vitals during labor and delivery
- Umbilical cord prolapse
- Oxygen deprivation
- Pre-eclampsia
- Placental abruption
- The umbilical cord wrapped around the baby’s neck
- Uterine rupture
- Breech position
- Prolonged labor
- Shoulder dystocia
- Group B strep and other infections
Severe Consequences for the Infant
There can be serious consequences for the child when signs of fetal distress are ignored. Oxygen deprivation and other results of fetal distress can result in a variety of medical conditions that impact the child’s life forever. If a C-section or other medical intervention is delayed, a child could develop conditions including:- Cerebral palsy
- Hypoxic-ischemic encephalopathy (HIE)
- Traumatic brain damage
- Maternal hemorrhage
- Broken bones
- Developmental delays
- Seizure disorders
- Learning disabilities
- Motor impairment
- Hearing and vision impairments
- Mental health disabilities