Late Decelerations

Late decelerations are consistent with NICHHD Category III, abnormal FHR tracing, and are associated with uteropla-cental insufficiency. These are provoked by uterine contractions and are associated with decrease in uterine blood flow or placental dysfunction. A late deceleration is a symmetric, gradual fall in FHR beginning at or after the contraction peak, with a slow return to baseline only after the contraction has passed (Fig. 21-14). Postdate gestation, preeclamp-sia, chronic hypertension, and diabetes mellitus are among the many causes of placental dysfunction. The management of late decelerations include turning the patient on her side to physiologically increase cardiac output and uterine blood flow, administering IV fluids to correct hypotension, discontinuing oxytocin infusion, and administering oxygen.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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