Document Detail

Computerized analysis of fetal heart rate in pregnancies complicated by gestational diabetes mellitus, gestational hypertension, intrauterine growth restriction and premature rupture of membranes.
MedLine Citation:
PMID:  20121394     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We aimed to compare individual fetal heart rate (FHR) indices, as determined by computer analysis of the tracing, in pregnancies complicated by gestational diabetes mellitus (GDM), gestational hypertension (PIH), intrauterine growth restriction (IUGR) and premature rupture of membranes (pPROM). METHODS: The study population consisted of 100 pregnant women affected by GDM on diet therapy, 100 pregnant women affected by GDM on insulin therapy, 100 pregnant women affected by PIH, 100 pregnant women affected by IUGR, 100 with premature rupture of membranes far from the term (pPROM) and 100 normal pregnancies matched for age, parity and gestation as controls. The 30-min FHR tracing was analyzed by computer. RESULTS: Baseline FHR, the duration of episodes of low variation and short-term variation was significantly higher in pregnancies complicated by gestational diseases than in controls; only in PIH, IUGR and pPROM were a significant reduction of the numbers of fetal movements. CONCLUSIONS: Our study demonstrates that pregnancies complicated by gestational diseases do an impact on FHR. The alteration is slight but evident; it reflects fetal well-being. Computerized FHR tracing analysis may improve the clinical care and the timing of delivery.
Giorgia Buscicchio; Lucia Gentilucci; Andrea L Tranquilli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  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     Volume:  23     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-12     Completed Date:  2010-06-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  335-7     Citation Subset:  IM    
Institute for Maternal and Child Sciences, Marche Polytechnic University, Ancona, Italy.
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MeSH Terms
Cardiotocography / methods
Diabetes, Gestational / diet therapy,  drug therapy,  physiopathology*
Fetal Growth Retardation / physiopathology*
Fetal Membranes, Premature Rupture / physiopathology*
Gestational Age
Heart Rate, Fetal*
Hypertension, Pregnancy-Induced / physiopathology*

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