Need to talk? Call 1800 882 436.
It's a free call with a maternal child health nurse. *call charges may apply from your mobile

Is it an emergency? Dial 000
If you need urgent medical help, call triple zero immediately.

beginning of content

Fetal distress

7-minute read

If you are pregnant and notice a decrease in your baby’s movements, seek urgent medical attention. This may be a sign that your baby is unwell.

Key facts

  • Fetal distress is a sign that your baby is not well.
  • Your doctor or midwife will monitor your baby’s heartbeat during pregnancy and labour to assess their wellbeing.
  • If your baby shows signs of fetal distress, your midwife or doctor will act quickly to try and treat any underlying cause.
  • You may need help to birth your baby quickly with an assisted (instrumental) delivery or caesarean section.
  • Fetal distress can increase the risk of birth complications, especially if it isn’t treated quickly.

What is fetal distress?

Fetal distress is a sign that your baby is not well. It happens when the baby isn’t receiving enough oxygen through the placenta.

Fetal distress can sometimes happen during pregnancy, but it’s more common during labour.

What causes fetal distress?

Fetal distress may occur when the baby doesn’t receive enough oxygen because of problems with the placenta (such as placental abruption or placental insufficiency) or problems with the umbilical cord (such as cord prolapse).

It is more common if you are overdue, have pregnancy complications or when there are other complications during labour. Sometimes it happens because the contractions are too strong or too close together.

Your baby is more likely to experience fetal distress if:

How is fetal distress diagnosed?

Fetal distress is diagnosed by monitoring the baby’s heart rate. A slow heart rate, or unusual patterns in the heart rate, may signal fetal distress.

Your doctor or midwife might pick up signs of fetal distress as they listen to your baby’s heart during pregnancy.

Your baby’s movements are a sign that your baby is well. A change in your baby’s movements may be a sign of fetal distress.

If you haven’t felt your baby move, or the pattern of moments has changed, contact your doctor or midwife immediately, as this may be a sign of fetal distress.

Another sign of possible fetal distress is meconium in the amniotic fluid. Let your doctor or midwife know right away if your notice your amniotic fluid is green or brown, since this could signal the presence of meconium (newborn poo, that your baby may pass while still in your uterus if they are distressed).

How is fetal distress managed?

There are a few ways that fetal distress may be managed. Your doctor will assess your situation and discuss with you the best management option in your situation.

If you are not in labour

Depending on your situation, your doctor or midwife may recommend interventions such as medicines or intravenous fluids. If these interventions do not help, your doctor may recommend an emergency caesarean section so you birth your baby quickly.

If you are in labour

You will usually be given you oxygen and fluids. Sometimes changing position, such as turning onto your side, can reduce the baby’s distress.

You may be given medicine to slow down the contractions. If you had medicines to speed up labour, these may be stopped if there are signs of fetal distress.

Sometimes, a baby in fetal distress needs to be born quickly. Your doctor may recommend an assisted (or instrumental) birth or you might need to have an emergency caesarean.

Most of the time, there will be time to discuss your options with your doctor and/or midwife. However, in some emergency situations, your doctor or midwife will need to act quickly. If there are any medical interventions you object to, such as receiving a blood donation, it’s a good idea to make sure that your doctor and/or midwife are aware of this when you arrive at the hospital.

Does fetal distress have any lasting effects?

Babies who experience fetal distress are at greater risk of complications after birth. Prolonged lack of oxygen during pregnancy and birth can lead to serious complications for the baby, if it is not noticed and managed early. Complications may include brain injury, cerebral palsy and even stillbirth.

Fetal distress may require an assisted birth or caesarean section. While these interventions are safe, they are associated with their own set of risks and complications. Having fetal distress in one pregnancy doesn’t mean you will necessarily experience fetal distress in your next pregnancy. Every pregnancy is different. If you’re worried about future pregnancies, it can help to talk to your doctor or midwife so they can explain what happened before and during the birth.

Where can I find resources and support?

If your labour didn’t go to plan, you may experience difficult feelings about their birth experience.

If you feel sad, disappointed or traumatised about what happened, it is important to talk to someone. There are lots of people and organisations who can help, including:

Speak to a maternal child health nurse

Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: July 2022

Back To Top

Need more information?

Fetal heart rate monitoring

During pregnancy and labour, your baby's heart rate can be checked. Read about fetal heart rate monitoring and the different ways it can be done.

Read more on Pregnancy, Birth & Baby website

Monitoring the Baby’s Heart Rate in Labour

Read more on RANZCOG - Royal Australian and New Zealand College of Obstetricians and Gynaecologists website

Baby movements during pregnancy

Every baby is unique and it is important for you to get to know your baby’s movement patterns.

Read more on Pregnancy, Birth & Baby website

Heart abnormality birth defects - Better Health Channel

Some congenital heart defects are mild and cause no significant disturbance to the way the heart functions.

Read more on Better Health Channel website

External cephalic version (ECV)

ECV is a procedure to try to move your baby from a breech position to a head-down position. This is performed by a trained doctor.

Read more on Pregnancy, Birth & Baby website

Having a small baby

Most babies born with a lower birthweight than average are normal and healthy, but some may be affected by foetal growth restriction.

Read more on Pregnancy, Birth & Baby website

Baby due date - Better Health Channel

Pregnancy is calculated from the first day of your last period, not from the date of conception.

Read more on Better Health Channel website

Placental insufficiency

Find out about placental insufficiency - when the placenta does not work properly, and your baby doesn't get the oxygen and nutrients they need.

Read more on Pregnancy, Birth & Baby website

Living with overweight, being pregnant and giving birth

Living with overweight or obesity while pregnant and giving birth means you or your baby may face challenges. Here’s how to make it easier for you both.

Read more on Pregnancy, Birth & Baby website

Exercise during Pregnancy

There are many benefits to be gained from regular exercise during pregnancy. These include physical benefits and the prevention of excessive weight gain, as well as benefits for psychological wellbeing.

Read more on RANZCOG - Royal Australian and New Zealand College of Obstetricians and Gynaecologists website

Call us and speak to a Maternal Child Health Nurse for personal advice and guidance.

Need further advice or guidance from our maternal child health nurses?

Healthdirect Australia acknowledges the Traditional Owners of Country throughout Australia and their continuing connection to land, sea and community. We pay our respects to the Traditional Owners and to Elders both past and present.

This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.

The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.

Except as permitted under the Copyright Act 1968, this publication or any part of it may not be reproduced, altered, adapted, stored and/or distributed in any form or by any means without the prior written permission of Healthdirect Australia.