Hypoxia Classification Table - Physiological-CTG
Hypoxia Classification Table - Physiological-CTG
Hypoxia Classification Table - Physiological-CTG
Evidence of Hypoxia
• Higher baseline than expected for G.A.
• Reduced variability and/ or absence of cycling
• Absence of accelerations
Chronic • Avoid further stress
• Shallow decelerations
Hypoxia • Expedite delivery, if delivery is not imminent
• Consider the clinical indicators: reduced fetal
movements, thick meconium, bleeding,
evidence of chorioamnionitis, postmaturity,
IUGR
First Stage
• Remove prostaglandins/stop oxytocin infusion
• If no improvement, needs urgent tocolysis
• More time spent during decelerations than at • If still no evidence of improvement within 10-15 minutes, review situation
Subacute the baseline and expedite Delivery
Hypoxia • May be associated with saltatory pattern Second Stage
(increased variability)
• Stop maternal active pushing during contractions until improvement is
noted.
• If no improvement in noted, consider tocolysis if delivery is not imminent
or expedite delivery by operative vaginal delivery
Preceded by reduced variability and lack of cycling or
reduced variability within the first 3 minutes
Immediate delivery by the safest and quickest route