Early, Late, and Variabe Decelerations | Nursing Care of the Childbearing Family

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► THIS VIDEO will guide you through understanding the different types of fetal heart rate decelerations seen on a fetal monitor. In the first section, we explore early decelerations, characterized by a gradual decrease and return to baseline of the fetal heart rate that mirrors uterine contractions. We discuss how these decelerations start with the onset of a contraction and reach their lowest point at the peak, then recover as the contraction ends. Early decelerations are usually a sign of head compression during labor, which is a normal physiological response. 🩺👶
Next, we dive into late decelerations, which appear as a delayed decrease in fetal heart rate that starts after the peak of the contraction and recovers after the contraction ends. This section emphasizes how late decelerations can indicate poor oxygenation or insufficient blood flow between the placenta and the baby. We highlight the importance of recognizing this pattern as a potential sign of fetal distress that may require intervention. ⚠️🫁
In the final part of the video, we cover variable decelerations, which are sudden and rapid drops in fetal heart rate, often caused by umbilical cord compression. Unlike early and late decelerations, variable decelerations can occur with or without contractions and are characterized by their quick onset and recovery. We explain how these decelerations can result from the baby's movements or the cord being wrapped around the neck, and why it's crucial to monitor these patterns closely. 🔍🩸
Throughout the video, we provide clear visuals and step-by-step explanations to help you identify and differentiate between these deceleration patterns. By the end of this video, you'll have a solid understanding of fetal heart rate monitoring and be better prepared to assess fetal well-being during labor. Don't forget to like, comment, and subscribe for more educational content! 📚👍✨
► CHAPTERS:
0:00 Early Deceleration
1:31 Late Deceleration
2:53 Variable Deceleration
5:35 Outro
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► ABOUT THE PROF: Jacquelyn McMillian-Bohler is an Assistant Clinical Professor at Duke University School of Nursing as well as a certified Nurse-Midwife. She is passionate about educating future nurses and will prepare nursing students in a professional and effective way for their nursing final exam or the NCLEX exam. She will guide them through the different fields of maternal-newborn nursing in this course, including the menstrual cycle, what to check for in the initial visit and what to observe in fetal monitoring.
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[@BeatriceOseiKwanin]

a bit confused about the episodic and the other thing, never heard that terminology

[@lecturionursing]

Great question! In fetal heart rate monitoring, "periodic" means the decelerations are associated with uterine contractions. For example, early and late decelerations are periodic because they happen in response to contractions. "Episodic" means the decelerations are not related to contractions and can occur randomly. Variable decelerations can be either periodic or episodic, depending on whether they happen during contractions or independently. Hope this helps clear things up! 😊🩺

[@laylam4241]

[@lecturionursing]

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