Types of intrapartum hypoxia on the cardiotocograph (CTG): do they have any relationship with the type of brain injury in the MRI scan in term babies?
| Autor: | Swetha Yatham, Abigail Archer, Virginia Whelehan, Edwin Chandraharan |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Cardiotocography Foetal monitoring Fetal Hypoxia Hypoxic ischaemic encephalopathy 03 medical and health sciences 0302 clinical medicine Pregnancy Internal medicine medicine Humans Mri scan reproductive and urinary physiology Retrospective Studies 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Infant Newborn Obstetrics and Gynecology Hypoxia (medical) Magnetic Resonance Imaging female genital diseases and pregnancy complications Fetal hypoxia 030220 oncology & carcinogenesis Hypoxia-Ischemia Brain embryonic structures Apgar Score Cardiology Female medicine.symptom business |
| Zdroj: | Journal of Obstetrics and Gynaecology. 40:688-693 |
| ISSN: | 1364-6893 0144-3615 |
| DOI: | 10.1080/01443615.2019.1652576 |
| Popis: | Electronic foetal monitoring using cardiotocography is aimed at the timely recognition and management of foetal hypoxia. The primary objective of this study was to examine whether a relationship exists between the types of foetal hypoxia (acute, subacute, evolving, chronic), as identified on cardiotocography and the nature of hypoxic ischaemic encephalopathy, as observed on MRI scans after birth. We conducted a retrospective study of 16 babies born (out of 52,187 births) at St George's Hospital in London during 2006-2017 with a postnatal diagnosis of HIE. Of the 16 babies, only 11 had both MRI scans and CTG traces available. Of those, 9 showed evidence of intrapartum hypoxia on CTG, but only 6 demonstrated evidence of HIE on MRI. Those with acute hypoxia showed abnormalities in the basal ganglia and thalami. A gradually evolving hypoxia or subacute hypoxia was associated with lesions in myelination and cerebral cortex.Impact Statement |
| Databáze: | OpenAIRE |
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