Help! ? about fetal monitoring

perhaps due to fetal size? At that gestational age isn't there more room to roam?

ok, a 29 weeker that had a c/s. Need more information. Why c/s? Was the patient in labor? What was the indication for a c/s? A 29 weeker can be monitored, and be challenging. At that gestation the accel standard to classify a "reactive NST" is reduced to 10x10 instead of 15x15 (unless the fetus had been monitored previously and porduced a 15x15 accel, then it would be held to the higher standard). These babies do have more room to move and can be difficult to monitor, but not impossible. If there were issues, then you would have no choice then to monitor in some way (either by continuous EFM or aucultation). I would really like to hear more of the circumstances behind this delivery to further assist.

Due to the immature neurological system a 29 week baby would not meet the same criteria as a term baby. It cn also be hard to continuously monitor these babies because of their size. Also, realistically speaking the c-section was already happening so what would be changed by monitoring? Although it may not have been standard practice or even good practice when I was an RN we didn't tend to waste time monitoring in the OR for a stat or emergent c-section. If you are already doing a stat or emergency c-section you are presumably already anticipating a compromised baby and working as quickly as possible. Working to get the baby on the monitor would slow down the process.