Fetal Heart Rate Monitoring Casebook: Checkmark Fetal Heart Rate Pattern and Normal Neonatal Outcome

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Checkmark fetal heart rate pattern associated with severe fetal hypoxia. A case report.

A 31-year-old nulliparous woman developed vaginal bleeding after spontaneous rupture of the membranes at 40 weeks of gestation. Fetal heart rate monitoring showed checkmark and sinusoidal patterns. A 3,281 g male neonate was delivered by emergency cesarean section, with Apgar scores of 1 and 3 at 1 and 5 min, respectively. The neonate exhibited severe acidosis with arterial blood gas pH of 6.96...

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Fetal heart rate pattern notification guidelines and suggested management algorithm for intrapartum electronic fetal heart rate monitoring.

CONTEXT Numerous randomized controlled trials have demonstrated limited efficacy of intrapartum fetal heart rate monitoring in improving fetal outcome. A potential reason is the wide variability in clinical decision making seen with its use. Standardizing management of variant intrapartum fetal heart rate tracings may reduce this variability and lead to improvement in fetal outcome. OBJECTIVE...

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What is the “normal” fetal heart rate?

Aim. There is no consensus about the normal fetal heart rate. Current international guidelines recommend for the normal fetal heart rate (FHR) baseline different ranges of 110 to 150 beats per minute (bpm) or 110 to 160 bpm. We started with a precise definition of "normality" and performed a retrospective computerized analysis of electronically recorded FHR tracings. Methods. We analyzed all re...

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The future of fetal heart rate monitoring.

Medical technology is developing at an accelerated rate. Advances and refinement in techniques of electronic fetal heart rate (FHR) monitoring are continually being designed and tested. Many of these show real promise for the future. Never-theless, for the next several years there are two major considerations. First, a more universal application of FHR monitoring i.e., to the "normal" patient ä...

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The unreactive fetal heart rate.

The 'flat' fetal heart rate (FHR) trace both before and during labour is viewed ominously by many obstetricians and midwives. The current medicolegal climate relating especially to care in labour is such that much emphasis is placed on an unreactive FHR. There is a tendency to link an unreactive FHR with an adverse outcome. However, it is only in a minority of cases that this is true. Furthermo...

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ژورنال

عنوان ژورنال: Journal of Perinatology

سال: 1999

ISSN: 0743-8346,1476-5543

DOI: 10.1038/sj.jp.7200262