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Gynaecology & Obstetrics General 4025e4f1

Which of the following explanations is not an explanation for decreased variability of the fetal heart tracing:

A
Fetal "sleep state"
B
Prematurity
C
Barbiturate ingestion
D
Fetal stimulation
High-Yield Explanation
Baseline varibility on CTG is the oscillation of baseline FHR excluding acceleration and deceleration. A varibility of 5-25 BPM is a sign of fetal well-being. Decreased varibility is seen in: Fetal hypoxia Sleep apnoea Congenital malformation Maternal academia Infection Drugs given to mother such as sedatives, magnesim sulfphate, antihypertensives Williams 22/e, p 499: Drugs given to moter which decrease the baseline varibility are: Narcotics Barbiturates Phenothiazines Tranquilizers General anaesthetics Meperidine Butorphanol MgSO4 According to Wiliams Increasing gestational age leads to increased baseline varibility, so it can be taken prematurity will have decreased varibility (i.e. option ‘b’ can be considered correct).

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