When complications occur

Concerns for baby in labour

When immediate birth is required

If there are concerns for baby’s wellbeing and immediate birth is required, baby will be birthed as soon as possible with vacuum or forceps (or perhaps by caesarean birth).

A change in the baby’s heartbeat can be a sign the baby isn’t getting enough oxygen. This is called ‘fetal distress’.

Signs of fetal distress include:

• a faster, slower or unusual pattern to the baby’s heartbeat
• a bowel movement by the baby seen as a greenish black fluid called ‘meconium’.

If these signs are present, your doctor or midwife will discuss with you, your continued management and care during your labour.

More information: Queensland Clinical Guidelines parent information – Fetal monitoring in labour

Why is meconium a concern?

Meconium aspiration syndrome

Meconium aspiration syndrome is when a baby inhales the meconium before, during or after labour.

It can cause respiratory problems as serious as pneumonia, and although it rarely happens, it can be fatal.

Meconium stained fluid occurs with about 10% of babies who are 'term' (37 to 42 weeks).

The presence of meconium during labour can be (but not always) a sign that the baby is becoming distressed.

Your labour will be observed closely and a paediatrician will be available at the birth, in case specialised care is required.

In this guide:

1. Plans may change
2. Pre-eclampsia
3. Preterm birth
4. Breech
5. What if my pregnancy is ‘overdue’?
6. How will my baby’s heart rate be monitored during my labour?
7. Concerns for baby in labour
8. Antibiotic treatment during labour
9. Blood loss after birth

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