have to disagree with the theory explained here. the severity in ascending order is 1.early deceleration(normal)

Per UWORLD: SHARP deceleration occur with contractions are still considered variable and are due to cord compression. Positioning mom in left lateral side reduces cord compression and improves blood flow to placenta. This late deceleration is not as bad. If you have a late deceleration, then there is placental insufficiency, this is a true EMERGENCY!!!

Late decelerations occur with contractions in the presence of hypoxia. They are a warning of distress and never reassuring. The start late, dip late and finish late after every contraction. The foetus is struggling to compensate with the poor oxygenation. They are never OK!

very well explained and thank you for that.

Amazingly explained, you explained 100% way better than my instructor. Is there anyway you can explain using a chart strip about fetal heart rate, variability, acceleration, periodic episodic, thank you in advance!

Variables are not as concerning as lates. Cord compression can be fixed (sometimes) with repositioning and in cases where there was ROM an amnioinfusion. Lates are uteroplacental insufficiency, yes, but it is a more concerning decel due to its higher likelihood that the fetus will suffer acidosis. Placental insufficiency is more often seen in PEC, GDM, HTN, IUGR, and post dates. Hope that clarifies it for some who watched this. Some of the information given in this video is very incorrect.

Helped a lot, thanks!

2 min in and still good. 3 min. Still with u.

Thanks so much for explaining this process....great video

Thank youuuuu for this! Very helpful ♥️

Thank you! Explained clearly!

Excellent video. 5 stars all around. TY!

Sometimes (Often?) hypoxia during contractions will cause late (type 2) decelerations. Blood is directed to vital organs so non-vital blood vessels will vasoconstrict causing hypertension that baroreceptors detect and then with the pneumogastric nerve (cranial nerve X) the heart rate is slowed. Because this process is so long that's why there is that lag time.

I think you got late deceleration and variable backwards. I would redo with the fix cause you did an amazing job and it helped me very much. Thank you

well done! since my nursing instructors could not explain it visually. Thx

thank you so much!! you just save my nclex review!!

This is so simple and organised 👌thanks

Thanks for explaining this and making it simple to understand

Verrryyyyy helpful!! Thank you

thank you for the great explanation

very good explanation thank you.

Thank you so much your video was GREAT!

easy to follow, thanks!

excellent presentation :) 10/10

I have a question... are early decelerations an EXPECTED finding, or unexpected but not worrisome? thanks so much for this video, I am studying for RN boards and this is the only simple and easy to understand tutorial that finally makes sense to me!

Thank you for the video.

according to Uworld in an early deceleration, the nadir of deceleration corresponds with the peak of contraction, they "mirror," one another. Also, late deceleration is as you said uteroplacental insufficiency , the baby's O2 is being compromised, you don't just continue to monitor, you turn the mother to her left side.

Awesome presentation. I'm like 1 minute in

Thank you so much!!

Nice and easy explained.. Tq

OMG. now I understand. thank you so much

Thank you so much Sir for such a simplified explanation.....☺️🙂

you the real MVP

great video!

thanks i understand now

Can you help what's a atypical deceleration

Thanks very helpful

Thank you sir.

so helpful thnx

A fetal scalp electrode is NOT "a little wire that goes next to the baby." It is a wire that is embedded in the fetal scalp. This early mistake makes me question the rest of this talk.

thnx doc it was awesome :)

Now i understand better. Thanks

thank you!!!

Thank U so much

Thank you sir😍

Thankyou sir

The uterus is so troublesome. Got early and late. Les see how variable goes

You said lates are ok and variable are the good ones. Not true. Lates are 2nd to placental insufficiency and NOT good. Uncomplicated variables are ok because they demonstrate a fetus with enough reserve while complicated variables are not good as they indicate a fetus with poor reserves.

Thank you

thanks dude

Thanks

Thanks lov

thanks

thanks.

Nice

thank u sir

Late decels are NOT ok! You CANNOT just monitor more closely. Get that mom on her left side and give her O2 to prevent baby getting hypoxia.

You need to look at AWHONN and NICHD for standardized nomenclature related to FHR TRACING terminology. This isn't accurate.

Hi thank you! 2 weeks to due , today at the stress test baby’s heartbeat decelerated from 140 to 60s not very often,(we haven’t had a deceleration before ) however our doctor wanted to make sure and transferred us to triage. Over there with another machine heartbeat was still kept going up and down and about in an hour my wife went to the bathroom after she had some serum. When she came back the heartbeat was very stable for 30 mins. Doctor was happy about it and sent us home. Thoughts please ? I am concerned. Thank you

late deceleration in NOT OKAY o_O

gr* video ...................thx

incorrect info , please look it up

nice

It's 2016. U/s and Doppler should be outlawed

Hay thanks for the video. Some feedback. I feel like the definition of a "deceleration" is absent. Like it has an actual definition not just a decrease in the baseline. Also your video could have been 2min if you didn't repeat over and over the same thing.

Decelerations+TP4=4YearInvestigation.

This is not information I would follow. You can get hypoxia with lates as well. I would rather have variables personally.

uh some info in here is wrong, late decels are the worst ones, new nurses to obs better go watch another video

You have the decels backwards in importance, Lates are the worst and variables are from cord compression. Not sure where you learned your education from, but pretty much all wrong. Look up the true definition of early decal as well.

❤👍

I'm an L&D nurse...this is not correct regarding lates and variables. Anyone watching please disregard this video as it is incorrect. You do a nice job presenting...so take down this video and redo with correct information. Thanks

you stated what the late deceleration is called by say uterine insufficiency or placental insufficiency but did not explain why it comes late. physiologically what is happening to answer why there is a delay in deceleration if their is insufficient oxygenation going on?

All wrong! Late decelerations are very bad! Variables happen with short periods of cord compression.. the oxygen interruption is very brief. They happen all the time! Late decelerations are caused by uteroplacental insufficiency yes, which means the uterus is puttering out and cannot sustain or work to keep the baby oxygenated any longer. They MUST be corrected or baby will become hypoxic and develop irreversible brain injury. You are teaching this all wrong and this is preparation for med boards? Very scary! Go back to school please! Jamie Lee, RN OB nurse and Family Nurse Practitioner student!!

incorrect

Please don't watch this video- you will fail your next OB exam!!! Lates are BAD. His explanation of variable decels is WRONG. What he is "trying to stress" is wrong!

Late decels not okay! better video: kzfaq.info/get/bejne/n7OEjMyLuLbOqoE.html

Very bad audio

just started my first day of OB/GYN rotation and I already know this guy is getting a lot of stuff wrong. Read an article and don't waste your time with this crap

do you have to talk so slow? i can't even follow it's so slow.

thank you !!!!!

Can you help what's a atypical deceleration