Document Detail

Intrapartum fetal heart rate monitoring in cases of congenital heart disease.
MedLine Citation:
PMID:  19481721     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We evaluated the intrapartum fetal heart rate (FHR) patterns in fetuses with congenital heart disease (CHD). STUDY DESIGN: One hundred sixteen cases of fetal CHD were identified at our institute between 2000-2007; 464 fetuses without CHD were used as controls. The incidences of abnormal FHR patterns and umbilical blood gases were compared. RESULTS: More fetuses with CHD showed variant FHR than did control fetuses (46.6% vs 17.7%; P < .01). Cesarean section deliveries that were based on fetal indications were performed more frequently in fetuses with CHD than in control fetuses (12.9% vs 3.2%; P < .01). Isomerism and tetralogy of Fallot were observed frequently with variant FHR. When chromosomal abnormalities and intrauterine growth restriction were excluded, the fetuses with CHD showed more variant FHR than did the control fetuses. CONCLUSION: Fetuses with CHD are more likely to show abnormal FHR patterns than are control fetuses. We suggest that cardiac abnormalities are associated with abnormalities in FHR patterns.
Keiko Ueda; Tomoaki Ikeda; Naoko Iwanaga; Shinj Katsuragi; Kaoru Yamanaka; Reiko Neki; Jun Yoshimatsu; Isao Shiraishi
Publication Detail:
Type:  Journal Article     Date:  2009-05-30
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  201     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-06     Completed Date:  2009-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  64.e1-6     Citation Subset:  AIM; IM    
Department of Perinatology, National Cardiovascular Center, Osaka, Japan.
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MeSH Terms
Blood Gas Analysis
Cesarean Section / statistics & numerical data
Fetal Blood / chemistry
Fetal Diseases / physiopathology*
Heart Defects, Congenital / physiopathology*
Heart Rate, Fetal / physiology*

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