Fetal heart rate monitoring and neonatal outcome in a population of early- and late-onset intrauterine growth restriction
| Autor: | Francesca Giovanna Esposito, Antonia Giudicepietro, Maria G. Signorini, Marta Campanile, Natascia Giuliano, Fulvio Zullo, Salvatore Tagliaferri, Gabriele Saccone, Giovanni Magenes, Giuseppe Maria Maruotti |
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| Přispěvatelé: | Esposito, Francesca G, Tagliaferri, Salvatore, Giudicepietro, Antonia, Giuliano, Natascia, Maruotti, Giuseppe M, Saccone, Gabriele, Signorini, Maria G, Magenes, Giovanni, Campanile, Marta, Zullo, Fulvio |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Cardiotocography early-onset growth restriction Population Intrauterine growth restriction Late onset Gestational Age Placental insufficiency Ultrasonography Prenatal 03 medical and health sciences 0302 clinical medicine Pregnancy Internal medicine antepartum fetal monitoring Medicine Humans education Hypoxia reproductive and urinary physiology Fetus education.field_of_study 030219 obstetrics & reproductive medicine Fetal Growth Retardation business.industry Ultrasound Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Ultrasonography Doppler fetal heart rate late-onset growth restriction Laser Doppler velocimetry Heart Rate Fetal medicine.disease computerized cardiotocography 030220 oncology & carcinogenesis embryonic structures Cardiology Gestation Female business |
| Popis: | AIM: The early-onset intrauterine growth restriction (IUGR) is associated with severe placental insufficiency and Doppler abnormalities. The late-onset IUGR is associated with mild placental insufficiency and normal Doppler velocimetry. The computerized cardiotocographic (cCTG) monitoring is used to evaluate the fetal well-being in pregnancies complicated by IUGR. Our aim was to investigate the cardiotocographic characteristics of IUGR fetuses and to identify every cCTG difference between Healthy and IUGR fetuses. METHODS: Four hundred thirty pregnant women were enrolled starting from the 28th week of gestation until the time of delivery: 200 healthy and 230 IUGR fetuses. Fetal heart rate (FHR) baseline (FHR), short-term variability (STV), long-term irregularity (LTI), delta, interval index (II), approximate entropy (ApEn), high frequency (HF), low frequency (LF), movement frequency (MF), LF/(HF + MF) ratio (LF/(HF + MF)) and number of decelerations were examined. Newborn baby data were also collected. RESULTS: The parameters of short- and medium-term variability discriminate between IUGR and healthy fetuses before 36 weeks including FHR, STV, LTI and delta discriminate between each subgroup of IUGR were compared to each one of the other two (P |
| Databáze: | OpenAIRE |
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