Increased variability of fetal heart rate during labour : a review of preclinical and clinical studies
| Autor: | Tarvonen, Mikko J., Lear, Christopher A., Andersson, Sture, Gunn, Alistair J., Teramo, Kari A. |
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| Přispěvatelé: | Department of Obstetrics and Gynecology, University of Helsinki, HUS Gynecology and Obstetrics, Clinicum, HUS Children and Adolescents |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
electronic fetal monitoring
ZigZag pattern fetal heart rate PLASMA ERYTHROPOIETIN neonatal morbidity increased variability AMNIOTIC-FLUID ASPHYXIA UMBILICAL-CORD OCCLUSIONS NERVOUS-SYSTEM FIGO CONSENSUS GUIDELINES ACUTE-HYPOXIA acidaemia 3123 Gynaecology and paediatrics marked variability saltatory pattern pregnancy RATE PATTERNS cardiotocography PHYSIOLOGY APGAR SCORE |
| Popis: | Increased fetal heart rate variability (FHRV) in intrapartum cardiotocographic recording has been variably defined and poorly understood, limiting its clinical utility. Both preclinical (animal) and clinical (human) evidence support that increased FHRV is observed in the early stage of intrapartum fetal hypoxaemia but can also be observed in a subset of fetuses during the preterminal stage of repeated hypoxaemia. This review of available evidence provides data and expert opinion on the pathophysiology of increased FHRV, its clinical significance and a stepwise approach regarding the management of this pattern, and propose recommendations for standardisation of related terminology. |
| Databáze: | OpenAIRE |
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