Document Detail

Intrapartum fetal heart rate patterns and neonatal intraventricular hemorrhage.
MedLine Citation:
PMID:  3566889     Owner:  NLM     Status:  MEDLINE    
A goal for the obstetrician and neonatologist is to screen for risk factors associated with intraventricular hemorrhage (IVH) in the low-birthweight infant. Perinatal events that lead to neonatal metabolic and cardiovascular derangements seem to provoke IVH, and conflicting reports have implicated labor as being contributory. A fetal heart rate (FHR) abnormality during premature labor may be a predictor of subsequent neonatal IVH. For this reason, 5 years of FHR tracings at two university medical centers were reviewed for inborn infants who were delivered after premature labor and weighed less than or equal to 2000 gm. Sixty-four infants developed IVH, but pre-existing labor with a discernible FHR pattern was recorded in only 38 (59%) cases. Interpretations were reassuring in 17 (45%) cases, suspicious in 7 (18%) cases, and ominous in 14 (37%) cases. This proportion of FHR patterns was not significantly different from a matched group of premature infants without IVH during the same period. Interpretations of intrapartum FHR patterns of low-birthweight infants are limited, especially before 30 weeks gestation, and not useful in predicting neonatal IVH.
W F Rayburn; M Z Johnson; K L Hoffman; S M Donn; R M Nelson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  4     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  1987 Apr 
Date Detail:
Created Date:  1987-05-26     Completed Date:  1987-05-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  98-101     Citation Subset:  IM    
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MeSH Terms
Cerebral Hemorrhage / diagnosis,  physiopathology*
Cerebral Ventricles / physiopathology
Fetal Monitoring
Heart Rate, Fetal*
Infant, Low Birth Weight / physiology*
Infant, Newborn
Infant, Premature, Diseases / diagnosis,  physiopathology*

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