Computerized analysis of fetal heart rate in pregnancies complicated by gestational diabetes mellitus, gestational hypertension, intrauterine growth restriction and premature rupture of membranes

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Giorgia BuscicchioAndrea Luigi Tranquilli

Abstract

We aimed to compare individual fetal heart rate (FHR) indices, as determined by computer analysis of the tracing, in pregnancies complicated by gestational diabetes mellitus (GDM), gestational hypertension (PIH), intrauterine growth restriction (IUGR) and premature rupture of membranes (pPROM). The study population consisted of 100 pregnant women affected by GDM on diet therapy, 100 pregnant women affected by GDM on insulin therapy, 100 pregnant women affected by PIH, 100 pregnant women affected by IUGR, 100 with premature rupture of membranes far from the term (pPROM) and 100 normal pregnancies matched for age, parity and gestation as controls. The 30-min FHR tracing was analyzed by computer. Baseline FHR, the duration of episodes of low variation and short-term variation was significantly higher in pregnancies complicated by gestational diseases than in controls; only in PIH, IUGR and pPROM were a significant reduction of the numbers of fetal movements. Our study demonstrates that pregnancies complicated by gestational diseases do an impact on FHR. The alteration is slight but evident; it reflects fetal well-being. Computerized FHR tracing analysis may improve the clinical care and the timing of delivery.

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Citations

Oct 12, 2016·Best Practice & Research. Clinical Obstetrics & Gynaecology·Edward Araujo JúniorGabriele Tonni
Jul 22, 2018·Physiological Measurement·Faezeh MarzbanradGari D Clifford
Sep 2, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Lisa StrouxGari D Clifford
Jan 31, 2020·Maternal and Child Health Journal·Olga Alvarez-BulnesGemma Talló-Catarineu
Feb 12, 2017·Physiological Measurement·Dirk HoyerUwe Schneider

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Related Papers

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Giorgia BuscicchioAndrea Luigi Tranquilli
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