Resucitación fetal intrauterina

Abstract

IntroductionIntrauterine fetal resuscitation includes a series of procedures performed in the mother to improve fetal oxygenation by correcting the cause of fetal compromise manifested by non-reassuring fetal heart rate. Material and MethodsA literature review was performed with evaluation of the scientific evidence for the techniques traditionally used for this purpose (maternal position, intravenous fluids, oxygen, intrapartum tocolysis and amnioinfusion). ResultsAlthough the evidence could be more robust, there are sufficient data to suggest that these techniques benefit the fetus, and the risk of harm is minimal when used with common sense. These procedures do not reverse the state of fetal hypoxia but can help to improve fetal oxygenation during the process of preparing for delivery. ConclusionUntil more data are available, it seems reasonable to err on the side of fetal safety by using these techniques when appropriate, based on the specific fetal heart rate pattern or any other intrapartum fetal surveillance test.