What it means
A state in which the placenta does not receive or pass on enough of the mother's blood. It can come from high blood pressure in pregnancy, diabetes, smoking, a pregnancy that goes past its due date, low maternal blood pressure or very strong, frequent contractions. Over weeks it can slow the fetus's growth; during labor it can lower the oxygen reaching the fetus.
For the nurse
On the fetal monitor, watch for late decelerations and reduced variability. If they appear, turn the client onto her side, stop an oxytocin infusion, give IV fluids and oxygen as ordered, and notify the provider.
At a glance
| Also written | placental insufficiency |
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Related terms
uteroplacental
Having to do with the uterus and the placenta together, especially the blood flow between them.
late deceleration
A gradual drop in the fetal heart rate that starts and hits its lowest point after the peak of a contraction.
fetal monitor
A device that records the fetal heart rate and the mother's contractions during pregnancy and labor.