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Three R's speed response to prolonged hypoxia: rate, route, room.(Obstetrics)

SAN FRANCISCO -- Organize your thoughts when faced with complicated fetal heart rate tracings by remembering the three R's--rate, route, and room.

Clinicians commonly respond to fetal heart rate tracings suggestive of unremitting hypoxia by trying a host of routine interventions, some of which have uncertain efficacy, Michael D. Fox, R.N., said a meeting on antepartum and intrapartum management.

Random use of maternal position change, a fluid bolus, hyperoxygenation, stopping oxytocin, giving terbutaline, or stimulating the fetal scalp may dangerously delay the move to more effective interventions such as cesarean delivery, said Mr. Fox, director of the perinatal ...

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