Intra uterine resuscitation of fetal distress is a longtime dream of an obstetrician. Fetal distress is one of the most common obstetric emergencies in labor rooms, and it accounts up to 40% of instrumental deliveries and 30% of caesarean sections. The definitive treatment for intra partum fetal distress is to take the baby out from the uterus at the earliest, preferably with in 30 mins after the recognition of fetal distress.
Delay in delivering a distressed fetus is likely to result in hypoxic ischemic encephalopathy and cerebral palsy or even fetal death. Fredrec J Mercier et.al, had reported effective tocolysis and intra uterine revival of fetal distress with intra venous administration of 60 to 90 mcg of nitro glycerin at an interval of 3 to 6 mts (1 or 2 doses). Nicola K Weale et al reported effective resuscitation of fetal distress with 250 mcr grams of subcutaneous Terbutaline…
