The value of the short-term fetal heart rate variation for timing the delivery of growth-retarded fetuses

BJOG : an International Journal of Obstetrics and Gynaecology
V SerraC W G Redman

Abstract

To assess the clinical value of the short-term fetal heart rate variation (STV) for timing the delivery of severely growth-retarded fetuses, many associated with pre-eclampsia. Retrospective cohort study. John Radcliffe Maternity Hospital, Oxford, UK. Two hundred and fifty-seven fetuses with a birthweight less than third percentile and a last computerised cardiotocography performed within 24 h of delivery. Analysis of the relationship between antepartum STV and the perinatal outcome. Stillbirth rate and the acid-base status at birth. There were no stillbirths or neonatal deaths (NNDs) within 24 h in the study population. Decreasing STV was correlated with earlier deliveries (P < 0.001), lower birthweight (P < 0.001), lower umbilical artery pH at birth (P < 0.001), worse acid-base status at birth (P < 0.001) and worse postnatal outcome (P < 0.002). The STV was able to predict the presence or absence of acidaemia and metabolic acidaemia (area under the receiver operating characteristic curve 0.70 and 0.75, respectively, P < 0.001). The risk of metabolic acidaemia increased as the antepartum STV decreased, the optimum cutoff level being < or = 3.0 milliseconds (positive and negative predictive values 64.6 and 86.6%). An STV < or =...Continue Reading

References

Jan 1, 1991·Journal of Perinatal Medicine·L S RibbertG H Visser
Sep 1, 1991·American Journal of Obstetrics and Gynecology·P StreetC W Redman
Jan 1, 1987·Early Human Development·P L YudkinA R Wilkinson
Aug 1, 1994·British Journal of Obstetrics and Gynaecology·G S DawesC W Redman
Jan 1, 1996·Journal of Perinatal Medicine·G S DawesC W Redman
Dec 31, 1997·British Journal of Obstetrics and Gynaecology·L A MageeC W Redman
Jan 9, 1998·British Journal of Obstetrics and Gynaecology·J J Morrison, J M Rennie
Feb 15, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K HecherG H Visser
Mar 6, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·R RomeroN Kadar
May 17, 2002·American Journal of Obstetrics and Gynecology·James PardeyChristopher W G Redman
Dec 31, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·UNKNOWN GRIT Study Group
Jan 16, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A A Baschat
Mar 14, 2003·Current Opinion in Obstetrics & Gynecology·Chris R Harman, Ahmet A Baschat
Feb 11, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A A Baschat
Feb 11, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C M BilardoK Hecher
Aug 6, 2004·American Journal of Obstetrics and Gynecology·Ahmet A BaschatChris R Harman
Aug 25, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M M AnceschiE V Cosmi
Aug 11, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S TuranA A Baschat

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Citations

Nov 13, 2013·Journal de gynécologie, obstétrique et biologie de la reproduction·M-V Senat, V Tsatsaris
May 9, 2013·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·Mariane de Fátima Y MaedaMarcelo Zugaib
May 26, 2009·Seminars in Perinatology·Bassam Haddad, Baha M Sibai
May 26, 2009·Seminars in Perinatology·Peter von DadelszenUNKNOWN PIERS (Pre-eclampsia Integrated Estimate of RiSk) Study Group
Jun 3, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·V SerraC W G Redman
Nov 3, 2010·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Charlene E ThorntonAnnemarie Hennessy
Feb 24, 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·Habiba KapayaDilly Anumba
Apr 29, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Mariane de Fátima Y MaedaMarcelo Zugaib
May 20, 2016·Computational and Mathematical Methods in Medicine·Maria RomanoMario Cesarelli
Jul 5, 2016·Acta Obstetricia Et Gynecologica Scandinavica·Jonathan LaiChristoph C Lees
Dec 8, 2016·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Natascia GiulianoDomenico Arduini
Dec 18, 2016·The Journal of Obstetrics and Gynaecology Research·Salvatore TagliaferriGiovanni Magenes
Apr 1, 2018·The Journal of Physiology·C J ShawD A Giussani
May 19, 2018·The Journal of Physiology·Jonathan D Hoang, Marmar Vaseghi
Jul 22, 2018·Physiological Measurement·Faezeh MarzbanradGari D Clifford
Mar 6, 2019·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·Jonathan LaiChristoph C Lees
May 18, 2019·The Journal of Obstetrics and Gynaecology Research·Francesca G EspositoFulvio Zullo
Jan 25, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Salvatore TagliaferriFulvio Zullo
Jan 14, 2020·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·Anouk Bertrang WarnckeLuigi Raio
Sep 3, 2020·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Christopher A LearAlistair J Gunn
Nov 11, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·G SeligerU Schneider
Mar 15, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A BhideG Acharya
Jun 2, 2017·Frontiers in Physiology·Faezeh MarzbanradGari D Clifford
Feb 10, 2017·Archives of Gynecology and Obstetrics·Christina KouskoutiFranz Kainer
Dec 5, 2018·Archives of Gynecology and Obstetrics·Florian M StumpfeFlorian Faschingbauer
Feb 12, 2017·Physiological Measurement·Dirk HoyerUwe Schneider
Sep 2, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Lisa StrouxGari D Clifford
Jun 27, 2019·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Friederike BaierFlorian Faschingbauer
Sep 3, 2019·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Nicola FratelliUNKNOWN TRUFFLE Group collaborating authors
Feb 7, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Roxane VanspranghelsCharles Garabedian
Mar 20, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Nir MelamedMoshe Hod
Apr 22, 2021·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Yoshiki MaedaLaura Bennet
Jul 29, 2021·Minerva Obstetrics and Gynecology·Bronacha Mylrea-Foley, Christoph Lees
Sep 3, 2021·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·Salvatore TagliaferriMarta Campanile

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