Suspected loss of foetal well-being

We know as loss of foetal wellness when oxigenation disorders that could affect the foetus are detected. It is a situation in which can be necessary to end the pregnancy to be able to preserve the mother's and foetus's health.

The most common causes are placentary insufficiency and feto-maternal haemorrhage. There is a higher risk in gestants of more than 40 years old, hypertense, with obesity, diabetes and/or actively smoking.

Usually, symptoms are scarce being the main one, the maternal perception of the foetal movements having reduced significantly. As the pregnancy progresses, the foetal movements appear progressively. The adequate acquisition and maintenance of the latter indicates a correct neuromuscular developmernt as well as foetal wellbeing.

Diagnoses is reached through clinical interrogation. It is also important to set the specific moment in which the gestant detected the movement diminution. An ultrasound will br carried out to assess foetal movements, cardiac frequency, amniotic fluid volume and foetal as well as placentary vascularisation.

Generally it is followed by a cardiotocographic register to assess uterine contractions and how they will affect the foetal beating.

The results to these tests are fundamentally to decide weather labour should be produced naturally or induced.