胎児ジストレス
WordNet
- cause mental pain to; "The news of her childs illness distressed the mother"
- a state of adversity (danger or affliction or need); "a ship in distress"; "she was the classic maiden in distress"
- extreme physical pain; "the patient appeared to be in distress"
- the seizure and holding of property as security for payment of a debt or satisfaction of a claim; "Originally distress was a landlords remedy against a tenant for unpaid rents or property damage but now the landlord is given a landlords lien" (同)distraint
- psychological suffering; "the death of his wife caused him great distress" (同)hurt, suffering
- facing or experiencing financial trouble or difficulty; "distressed companies need loans and technical advice"; "financially hard-pressed Mexican hotels are lowering their prices"; "we were hard put to meet the mortgage payment"; "found themselves in a bad way financially" (同)hard-pressed, hard put, in a bad way
- causing distress or worry or anxiety; "distressing (or disturbing) news"; "lived in heroic if something distressful isolation"; "a disturbing amount of crime"; "a revelation that was most perturbing"; "a new and troubling thought"; "in a particularly worrisome predicament"; "a worrying situation"; "a worrying time" (同)distressful, disturbing, perturbing, troubling, worrisome, worrying
- of or relating to a fetus; "fetal development" (同)foetal
PrepTutorEJDIC
- 〈U〉(肉体的・精神的な)『激しい苦しみ』,苦痛,苦悩,非嘆 / 《a~》(…にとっての)悩みの種《+『to』+『名』》 / 〈U〉『貧苦』,窮乏 / 〈U〉『危険状態』,難儀 / (精神的・肉体的に)〈人〉‘を'『苦しめる』,苦悩させる
- =distressful
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/08/13 14:13:26」(JST)
[Wiki en表示]
Fetal distress |
Classification and external resources |
ICD-10 |
O68 |
ICD-9 |
768.2-768.4 |
DiseasesDB |
4882 |
MeSH |
D005316 |
In medicine (obstetrics), the term fetal distress refers to the presence of signs in a pregnant woman[1]—before or during childbirth—that suggest that the fetus may not be well. Because of its lack of precision, the term is eschewed in modern American obstetrics.[2]
Contents
- 1 Signs and symptoms
- 2 Causes
- 3 Treatment
- 4 References
Signs and symptoms
Generally it is preferable to describe specific signs in lieu of declaring fetal distress that include:
- Decreased movement felt by the mother
- Meconium in the amniotic fluid ("meconium stained liquor")
- Non-reassuring patterns seen on cardiotocography:
- increased or decreased fetal heart rate (tachycardia and bradycardia), especially during and after a contraction
- decreased variability in the fetal heart rate
- late decelerations
- Biochemical signs, assessed by collecting a small sample of baby's blood from a scalp prick through the open cervix in labor
- fetal metabolic acidosis
- elevated fetal blood lactate levels (from fetal scalp blood testing) indicating the baby has a lactic acidosis
Some of these signs are more reliable predictors of fetal compromise than others. For example, cardiotocography can give high false positive rates, even when interpreted by highly experienced medical personnel. Metabolic acidosis is a more reliable predictor, but is not always available.
Causes
There are many causes of "fetal distress" including:
- Breathing problems
- Abnormal position and presentation of the fetus
- Multiple births
- Shoulder dystocia
- Umbilical cord prolapse
- Nuchal cord
- Placental abruption
- Premature closure of the fetal ductus arteriosus
- Uterine rupture
- Intrahepatic cholestasis of pregnancy, a liver disorder during pregnancy
Treatment
Instead of referring to "fetal distress" current recommendations hold to look for more specific signs and symptoms, assess them, and take the appropriate steps to remedy the situation.[2] Traditionally the diagnosis of "fetal distress" led the obstetrician to recommend rapid delivery by instrumental delivery or by caesarean section if vaginal delivery is not advised.
References
- ^ Fetal Distress at the US National Library of Medicine Medical Subject Headings (MeSH)
- ^ a b ACOG. Committee Opinion, Number 326, December 2005: Inappropriate Use of the Terms Fetal Distress and Birth Asphyxia.. Retrieved June 9, 2010.
Pathology of pregnancy, childbirth and the puerperium (O, 630–679)
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Pregnancy |
Pregnancy with
abortive outcome
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- Ectopic pregnancy
- Abdominal pregnancy
- Cervical pregnancy
- Interstitial pregnancy
- Ovarian pregnancy
- Molar pregnancy
- Miscarriage
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Oedema, proteinuria and
hypertensive disorders
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- Gestational diabetes
- Gestational hypertension
- Pre-eclampsia
- Eclampsia
- HELLP syndrome
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Other, predominantly
related to pregnancy
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Digestive system
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- Acute fatty liver of pregnancy
- Hepatitis E
- Hyperemesis gravidarum
- Intrahepatic cholestasis of pregnancy
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Integumentary system /
dermatoses of pregnancy
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- Gestational pemphigoid
- Impetigo herpetiformis
- Intrahepatic cholestasis of pregnancy
- Linea nigra
- Prurigo gestationis
- Pruritic folliculitis of pregnancy
- Pruritic urticarial papules and plaques of pregnancy (PUPPP)
- Striae gravidarum
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Nervous system
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Blood
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- Gestational thrombocytopenia
- Pregnancy-induced hypercoagulability
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Maternal care related to the
fetus and amniotic cavity
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- amniotic fluid
- Oligohydramnios
- Polyhydramnios
- Braxton Hicks contractions
- chorion / amnion
- Amniotic band syndrome
- Chorioamnionitis
- Chorionic hematoma
- Monoamniotic twins
- Premature rupture of membranes
- Obstetrical hemorrhage
- placenta
- Circumvallate placenta
- Monochorionic twins
- Placenta praevia
- Placental abruption
- Twin-to-twin transfusion syndrome
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Labor |
- Amniotic fluid embolism
- Cephalopelvic disproportion
- Dystocia
- Fetal distress
- Locked twins
- Obstetrical hemorrhage
- placenta
- Preterm birth
- Postmature birth
- Umbilical cord prolapse
- Uterine rupture
- Vasa praevia
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Puerperal |
- Breastfeeding difficulties
- Agalactia
- Fissure of the nipple
- Galactorrhea
- Breast engorgement
- Diastasis symphysis pubis
- Peripartum cardiomyopathy
- Postpartum depression
- Postpartum thyroiditis
- Puerperal fever
- Puerperal mastitis
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Other |
- Concomitant conditions
- Diabetes mellitus
- Systemic lupus erythematosus
- Thyroid disorders
- Maternal death
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UpToDate Contents
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English Journal
- A case of neonatal intrapericardial teratoma. Clinical and pathological findings.
- Laforgia N, Calderoni G, Di Mauro A, Marzullo A, Troise D, Annecchino P.Source.Neonatology and NICU Section, Department of Gynecology, Obstetrics and Neonatology, University of Bari, Bari, Italy .Department of Pathological Anatomy, University of Bari, Bari, Italy .Pediatric Cardiac Surgery A.O. Policlinico-Giovanni XXIII Bari, Italy.
- Acta paediatrica (Oslo, Norway : 1992).Acta Paediatr.2011 Aug;100(8):e90-e92. doi: 10.1111/j.1651-2227.2011.02190.x. Epub 2011 Mar 1.
- Aim:? It is of general agreement that complete surgical removal after birth of intrapericardial fetal teratomas is needed, because of the risk of severe cardiovascular and respiratory distress, related to the mass size, location and secondary pericardial effusion. Histological examination generall
- PMID 21284721
Japanese Journal
- <Case Study> BLOOD SALVAGE MANAGED A CRITICAL HEMORRHAGE DURING CESAREAN SECTION WITH UTERINE RUPTURE ACCOMPANIED WITH PLACENTA ACCRETA
- Kawaguchi Yoko,Hashiba Eiji,Kitayama Masatou,Hirota Kazuyoshi
- 弘前醫學 61(2/3/4), 159-162, 2011
- … A 30-year-old woman underwent an emergency cesarean section because of fetal distress involveduterine rupture. …
- NAID 110008425058
Related Links
- In medicine (obstetrics), the term fetal distress refers to the presence of signs in a pregnant woman?before or during childbirth?that suggest that the fetus may not be well. Because of its lack of precision, the term is eschewed in ...
Related Pictures
![Fetal distress – these two words can](https://1mg.info/0/5/f/2275.jpg)
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![Fetal Distress](https://1mg.info/0/5/f/2279.jpg)
★リンクテーブル★
[★]
- 英
- fetal distress, fetal asphyxia
- ラ
- asphyxia fetalis
- 同
- 胎児ジストレス、切迫仮死、子宮内仮死、フィータルジストレス fetal distress
- 関
- 胎児ジストレス
[★]
- 英
- fetal distress
- 関
- 胎児仮死
[★]
- 英
- fetal distress
- 関
- 胎児仮死
[★]
- 悩んでいる、苦しんでいる、動揺している
- (やや古い)(経済的に)困窮している、貧しい
- (家具・木材などが)(年代物の感じを持たせるために)わざと傷つけられた。(仕上げに傷を付けるなどして)年代物に見せかけた
- (安値や原価を割って売られる)投げ売り(商品)の。(経済)差し押さえられて安く売り出された
[★]
- 胎生期の、胎性の、(人間)胎児の、胎児性の、(動物)胎仔の、胎仔型の
- 関
- embryo、embryonal、embryonic、embryonic day、embryonic form、embryonic stage、fetal stage、feto、fetus、foetal、foetus
[★]
- 悩み、嘆き。悩みの種
- 苦痛。極度の疲労
- 貧苦、困窮、難儀、災難、不幸
[★]
- 悲惨な、痛ましい
- 悩ませる、苦しめる
- 悲惨な、苦悩に満ちた