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Re: babys heart rate v/s stress of contractions

From: Amit (anonymous@obgyn.net)
Tue, 9 May 2000 18:05:51 +0530


>----- Original Message -----
From: karen <anonymous@obgyn.net> To: Multiple recipients of list PREGNANCY-BIRTH <pregnancy-birth@forum.obgyn.net> Sent: Monday, May 08, 2000 6:37 PM Subject: babys heart rate v/s stress of contractions

> i know it is rather early... but obs office opens at 10am and i am not
> comfortable with info from resident at ob triage earlier this am.... ok
> i went in with mild contractions and thick & closed. 1st question is i
> dialated 2cm within 5 hours how significant is this? mind you i am still
> 34 weeks... i was given trub. injections actually 4, and needless to
> say i am contracting now.

Is the contraction painful?. If yes, Did you find some pain relief with Terbutalin?. If yes, and In case, if you are multigravida and external os dilatation is 2cm, nothing much to worry, but if the contraction is increasing in frequency and intensity and painful, 2cm dilatation is of the internal os and more so find out about the BOM (Bag of membrane),that suggests most probably you are going in for preterm labor. Discuss with your OBGY.

ok question 2 > is baby base line heart rate is almost always 145bm but was so crazy
> this am ... he'd race to 170 which is reactive & fine i have learned
> from various stays for ptl... but he dropped to 108 ...111...100 quite
> a lot ... enough the nurse from first shift seemed concerned... but
> resident sent me home... his base line last night was 130... which is
> 15bm less than his norm. is there any signf. in this? i am sorry so
> long but thankyou for your time & kindness... you all are very
> wonderful people to help us through such a confusing time.... karen
>

The baseline tracing of 130 is normal , a dip of 108/110 during contarction is normal moreso when it recovers to baseline level immediately as the contraction dies down, if otherwise, consult your OB.

Best of luck

Dr.Amit Sengupta, MD; Ph.D. This is for educational purpose only >




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