Intrapartum fetal heart rate monitoring in cases of congenital heart disease

American Journal of Obstetrics and Gynecology
Keiko UedaIsao Shiraishi

Abstract

We evaluated the intrapartum fetal heart rate (FHR) patterns in fetuses with congenital heart disease (CHD). One hundred sixteen cases of fetal CHD were identified at our institute between 2000-2007; 464 fetuses without CHD were used as controls. The incidences of abnormal FHR patterns and umbilical blood gases were compared. More fetuses with CHD showed variant FHR than did control fetuses (46.6% vs 17.7%; P < .01). Cesarean section deliveries that were based on fetal indications were performed more frequently in fetuses with CHD than in control fetuses (12.9% vs 3.2%; P < .01). Isomerism and tetralogy of Fallot were observed frequently with variant FHR. When chromosomal abnormalities and intrauterine growth restriction were excluded, the fetuses with CHD showed more variant FHR than did the control fetuses. Fetuses with CHD are more likely to show abnormal FHR patterns than are control fetuses. We suggest that cardiac abnormalities are associated with abnormalities in FHR patterns.

References

Oct 1, 1977·Early Human Development·M L ChiswickJ V Occleshaw
May 1, 1990·International Journal of Bio-medical Computing·G H VisserL S Ribbert
Jan 1, 1982·Journal of Perinatal Medicine·V Kariniemi, P Aula
Aug 1, 1984·British Journal of Obstetrics and Gynaecology·G HensonC W Redman
May 15, 1984·American Journal of Obstetrics and Gynecology·T TeraoM Maeda
Jan 31, 2002·Pacing and Clinical Electrophysiology : PACE·M H WuF J Hsieh
Oct 28, 2004·American Journal of Obstetrics and Gynecology·Masatoki KanekoToshio Minematsu
Jul 10, 2007·American Journal of Obstetrics and Gynecology·Julian T Parer, Tomoaki Ikeda
Aug 13, 2008·Journal of Cardiovascular Medicine·Paolo FerreroGiampaolo Trevi

Citations

May 31, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·C A WalshF M McAuliffe
Feb 16, 2016·Clinics in Perinatology·Laura SanapoMary T Donofrio
Sep 27, 2012·Seminars in Perinatology·Lynn L Simpson
Mar 18, 2011·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Nancy K Lowe
Nov 4, 2010·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Erica GillesbyBreon Whelan
Dec 2, 2015·Early Human Development·Inbal KorenOri Shen
Sep 12, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Estelle GayMuriel Doret
Apr 23, 2015·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·Hiroaki TanakaTomoaki Ikeda
Jul 17, 2012·Computer Methods and Programs in Biomedicine·Oliver FaustToshiyo Tamura
Nov 29, 2016·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·Takekazu MiyoshiTomoaki Ikeda
Jul 11, 2017·The Journal of Obstetrics and Gynaecology Research·Junsuke MuraokaYuichiro Sato
Jul 22, 2018·Physiological Measurement·Faezeh MarzbanradGari D Clifford
Aug 30, 2018·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·Mehmet Resit AsogluOzhan M Turan
Apr 13, 2019·The Journal of Obstetrics and Gynaecology Research·Takekazu MiyoshiTomoaki Ikeda
Jun 27, 2019·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Sarah B MulkeyAdre J du Plessis
Oct 16, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·April D AdamsSara N Iqbal
Nov 6, 2020·Circulation Journal : Official Journal of the Japanese Circulation Society·Kenichi KurosakiSatoshi Yasuda

Related Concepts

Blood Gas Analysis
Postcesarean Section
Umbilical Cord Blood
Embryopathies
Congenital Heart Defects
Heart Rate, Fetal
Cardiotocogram
Cesarean Section
Congenital Chromosomal Disease
Fetal Growth Retardation

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