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variable deceleration

An abrupt drop in the fetal heart rate of at least 15 beats per minute that lasts at least 15 seconds and less than 2 minutes.

VAIR-ee-uh-bul dee-sel-er-AY-shun noun

What it means

A fetal heart rate pattern on the monitor in which the rate falls quickly (in under 30 seconds) and then recovers. The drops vary in shape, depth, length and timing, and may or may not line up with contractions, so the tracing often looks like a "V", "U" or "W". They are usually caused by squeezing of the umbilical cord.

For the nurse

Common first steps are changing the client's position, stopping an oxytocin infusion and checking for cord prolapse, then reporting to the provider, as the agency's protocol directs.

Remember it

VEAL CHOP: Variable decelerations go with Cord compression.

At a glance

Also writtenvariable decelerations

Related terms

heart rate

How many times the heart beats per minute.

uterine contraction

A tightening and then relaxing of the muscle of the uterus (womb), as happens during labor.

prolonged deceleration

A drop in the fetal heart rate of at least 15 beats per minute below baseline that lasts 2 minutes or more but less than 10.

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