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

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]

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.

UpToDate Contents

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1. 分娩時胎児心拍数の評価 intrapartum fetal heart rate assessment
2. 分娩前の胎児心拍数評価 antepartum fetal heart rate assessment
3. 分娩第Ⅰ期、Ⅱ期、およびⅢ期の胎児心拍数計測のマネージメント management of intrapartum category i ii and iii fetal heart rate tracings
4. 分娩時の妊婦における気道のマネージメント airway management of pregnant women at delivery
5. 早産児における細菌性敗血症の臨床的特徴および診断 clinical features and diagnosis of bacterial sepsis in the preterm infant

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

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リンク元	「胎児仮死」「フィータルジストレス」「胎児ジストレス」
関連記事	「distressed」「fetal」「distress」「distressing」