Foetal heart rate pattern after complete cord occlusion by radiofrequency ablation for selective reduction in the complicated monochorionic twin pregnancies

Autor: Fatemeh Rahimi-Sharbaf, Mamak Shariat, Shirin Niromanesh, Mahboobeh Shirazi, Zahra Soleimani
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Advances in Human Biology, Vol 9, Iss 1, Pp 84-88 (2019)
Druh dokumentu: article
ISSN: 2321-8568
2348-4691
DOI: 10.4103/AIHB.AIHB_29_18
Popis: Background: The purpose of the present study was to assess foetal heart rate (FHR) pattern after complete cord occlusion by radiofrequency ablation (RFA) for selective reduction in the complicated monochorionic twin pregnancies. Materials and Methods: A prospective cohort study was done at an Iranian Hospital in 2016–2017 on 85 pregnant women candidate for selective reduction by RFA. Umbilical vein was cauterised two times (power 100 Watt) for 2 min. Cease of blood flow was confirmed by colour Doppler and FHR was recorded. Then, the pattern of FHR after cord blood occlusion was assessed and recorded with certain intervals until cardiac asystole. Results: Of all 85 participants who entered the study, 59 cases with normal heart echocardiography were eligible. After about 4-min post-RFA, FHR steeply dropped to
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