Document Detail

Intrapartum fetal atrial bigeminy--diagnostic and therapeutic role of the fetal scalp stimulation test.
MedLine Citation:
PMID:  9065148     Owner:  NLM     Status:  MEDLINE    
Concern for fetal hypoxia often leads to cesarean delivery when persistent fetal bradycardia is identified. A fetus with premature atrial contractions had a prolonged second-stage heart rate of 80 beats/min. Intrapartum echocardiography and electronic fetal heart rate monitoring distinguished bradycardia caused by blocked atrial bigeminy from hypoxic bradycardia. The fetal scalp stimulation test documented normal acid-base balance and normalized the ventricular rate, avoiding cesarean delivery.
J R Wax; M Emmerich; M K Eggleston
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  174     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1996 May 
Date Detail:
Created Date:  1997-03-17     Completed Date:  1997-03-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1649-50     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Naval Medical Center, Portsmouth, Virginia, USA.
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MeSH Terms
Atrial Premature Complexes / complications,  diagnosis*,  therapy*
Bradycardia / etiology
Fetal Diseases / diagnosis*,  therapy*
Fetal Monitoring
Fetus / physiology
Heart Rate, Fetal
Labor, Obstetric*
Physical Stimulation
Scalp / embryology*
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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