Abstract
Fetal distress in labor results in progressive hypoxia and acidosis. The goal of fetal intrapartum resuscitation (FIR) is to optimize the fetal condition in utero so that labor may continue safely, or to improve fetal wellbeing prior to emergency delivery. The specific measures employed aim to increase oxygen delivery to the placenta and fetus in order to reverse hypoxia and acidosis. Intrauterine resuscitation encompasses maternal repositioning, reducing uterine activity, oxygen administration, amnioinfusion, optimizing maternal fluid status and correction of hypotension, and modifying maternal expulsive efforts. It helps to buy time to optimize the fetal condition while preparing for an impending delivery, or an emergency cesarean section. Evidence for this review was acquired by searching Pubmed, MEDLINE, EMBASE, SCOPUS, and Cumulative Index to Nursing and Allied Health. A hand search from 1950 to 2007 was not limited to English-language articles. Retrieved articles were examined for bibliographies, and cross-referencing was done.
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