VEAL CHOP & labor strips

V

variable (cord compression)

E

early decels (head compression)

A

Accels (Ok, maybe O2) :)

L

later decels (placental insufficiency)

Early Decelerations

- mirrors contraction perfectly

*the FHR baseline begins to dip with the beginning of a contraction, FHR baselineis back to normal by the end of the contraction

- D/t head compression

Nursing interventions for early decelerations

- change position if possible (left is best)

- apply oxygen

- IV bolus (consistent decels)

Variable decelerations

- occur at any point with or without a contraction

- r/t cord compression

Nursing interventions for variable decelerations

- change position

- apply oxygen (consistent variables)

Late decelerations

- occur with contractions, fetal baseline is not back up after the contraction is over

- NOT GOOD

-immediately call to provider, letting them know what you are seeing, and what you have done

What do you do when there is late decelerations?

- immediately change position

- apply oxygen

- if mom is getting pitocin, slow down or cut it off

- IV fluids

- get ready for a quick delivery or c-section

Accelerations

- baseline fetal heart rate is 120-160, preserved beat to beat and longterm variability.

- last for 15 or more seconds above baseline and peak to 15 or more breaths per minute

Variable (cord compression)

Accelerations

Late decelerations

Early decelerations

Late decelerations