Decreased movement felt by the mother Meconium in the amniotic fluid ("meconium stained fluid") Non-reassuring patterns seen on cardiotocography: increased or decreased fetal heart rate (tachycardia and bradycardia), especially during and after a contraction decreased variability in the fetal heart rate late decelerations Biochemical signs, assessed by collecting a small sample of baby's blood from a scalp prick through the open cervix in labor fetal metabolic acidosis elevated fetal blood lactate levels (from fetal scalp blood testing) indicating the baby has a lactic acidosis