Management strategies depend on the type and severity of decelerations:
- Early Decelerations: Generally require no specific intervention as they are considered benign. - Late Decelerations: May require interventions to improve placental blood flow, such as maternal repositioning, oxygen supplementation, and intravenous fluids. If these measures are ineffective, more aggressive interventions like delivery may be considered. - Variable Decelerations: Initial management includes maternal repositioning to relieve cord compression. If variable decelerations persist or are severe, other interventions like amnioinfusion (introduction of fluid into the amniotic sac) or expedited delivery may be necessary.
