What should be done if there are late decelerations during labor?

Late decelerations during labor typically indicate fetal distress, often due to uteroplacental insufficiency, which can compromise the baby's oxygen supply. The LION protocol stands for "Left side, Increase IV fluids, Oxygen, and Notify the doctor," which is a specific intervention strategy aimed at improving uteroplacental perfusion and fetal oxygenation.

By positioning the patient on her left side, you can enhance blood flow to the placenta and reduce pressure on the umbilical cord. Increasing IV fluids can help boost circulation, while administering oxygen can improve oxygen delivery to the fetus. Notifying the healthcare provider is crucial for further evaluation and intervention. This holistic approach addresses the potential causes of late decelerations and helps ensure the safety of both the mother and baby.

Choosing to monitor the situation closely or merely changing the patient’s position may not be sufficient to address the potential fetal distress indicated by late decelerations. Immediate surgical intervention might be necessary in severe cases but is not the first line of action, as it often involves assessing the situation further before deciding on such a drastic step. Therefore, the LION protocol is the most comprehensive first response to this concerning pattern seen during labor.