W086 CHARACTERISATION OF TYPES OF FETAL HEART RATE DECELERATIONS DURING THE LAST 30 MINUTES PRIOR TO VAGINAL DELIVERY

2012 ◽  
Vol 119 ◽  
pp. S733-S733
Author(s):  
O. Dickinson ◽  
V. Lowe ◽  
E. Chandraharan
Keyword(s):  
Heart Rate ◽  
Vaginal Delivery ◽  
Fetal Heart Rate ◽  
Fetal Heart

scholarly journals The Successful Use of Nitroglycerin for Uterine Hyperstimulation with Fetal Heart Rate Abnormality Caused by a Controlled-Release Dinoprostone Vaginal Delivery System (PROPESS): A Case Report

Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 478
Author(s):  
Sho Takakura ◽  
Hiroaki Tanaka ◽  
Naosuke Enomoto ◽  
Shintaro Maki ◽  
Tomoaki Ikeda
Keyword(s):  
Heart Rate ◽  
Controlled Release ◽  
Vaginal Delivery ◽  
Delivery System ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Cervical Ripening ◽  
Emergency Cesarean ◽  
Uterine Hyperstimulation ◽  
Uterine Relaxation

The PROPESS, a controlled-release dinoprostone vaginal delivery system, is a pharmacological cervical ripening intervention and promotes cervical change causing uterine contraction. During insertion of the PROPESS, uterine hyperstimulation could occur and result in fetal heart rate (FHR) abnormality. We report a case of uterine hyperstimulation accompanied with FHR abnormality caused by the PROPESS in a pregnant woman. Postural change, oxygenation, fluid infusion, and the immediate PROPESS removal were ineffective to address the adverse event, so we administered nitroglycerin for acute uterine relaxation. The nitroglycerin resulted in uterine relaxation, and the FHR abnormality was resolved immediately, thereby preventing an emergency cesarean section. Therefore, nitroglycerin could be considered an effective option for uterine hyperstimulation accompanied with FHR abnormality caused by the PROPESS.

scholarly journals Fetal heart rate tracing interpretation in cases of fetal heart block: A case series

2021 ◽  
Author(s):  
Fuanglada Tongprasert ◽  
Kasemsri Srisupundit ◽  
Suchaya Leuwan ◽  
Kuntharee Traisrisilp ◽  
Phudit Jatavan ◽  
...  
Keyword(s):  
Heart Rate ◽  
Vaginal Delivery ◽  
Fetal Heart Rate ◽  
Heart Block ◽  
Fetal Heart ◽  
Complete Heart Block ◽  
Case Series ◽  
Fetal Surveillance ◽  
Degree Heart Block ◽  
Second Degree

Simple assessment of FHR baseline variability can differentiate second degree heart block (SHB) from complete heart block (CHB). In cases of SHB, antepartum NST can be reliably used for fetal surveillance. Intrapartum assessment of FHR variability as well as accelerations is useful to select cases for safe vaginal delivery

Fetal heart rate changes observed on the CTG trace during instrumental vaginal delivery

2017 ◽  
Vol 32 (1) ◽  
pp. 117-124 ◽  
Author(s):  
Wanying Xie ◽  
Abigail Archer ◽  
Chao Li ◽  
Hongyan Cui ◽  
Edwin Chandraharan
Keyword(s):  
Heart Rate ◽  
Vaginal Delivery ◽  
Fetal Heart Rate ◽  
Fetal Heart

Cesarean delivery due to nonreassuring fetal heart rate: the effect of phase of labor on subsequent vaginal delivery success

2019 ◽  
Vol 33 (22) ◽  
pp. 3798-3803
Author(s):  
Hadas Ganer Herman ◽  
Zviya Kogan ◽  
Tahel Bar-Nof ◽  
Jacob Bar ◽  
Michal Kovo
Keyword(s):  
Heart Rate ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Fetal Heart Rate ◽  
Fetal Heart

scholarly journals Factors predicting success of vaginal delivery in women with oligohydramnios undergoing induction of labour

2021 ◽  
Vol 10 (4) ◽  
pp. 1491
Author(s):  
Ritika Malviya ◽  
Suman Mahor ◽  
Sarada Saranu
Keyword(s):  
Heart Rate ◽  
Caesarean Section ◽  
Vaginal Delivery ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Tertiary Care ◽  
Normal Vaginal Delivery ◽  
Tertiary Care Centre ◽  
Fetal Heart Rate Monitoring ◽  
Heart Rate Pattern

Background: Aim was to study the predicting factors for success of vaginal delivery, in women with oligohydramnios undergoing induction of labour.Methods: An observational study conducted in tertiary care centre Kamineni Hospital in 100 patients in 1-year duration with vaginal misoprostol tablets to predict the success of vaginal delivery in cases, if oligohydramnios undergoing induction of labor.Results: In our study total 100 cases was induced. Among these 81% had successful normal vaginal delivery and 19% had caesarean section delivery. Those who underwent caesarean section, their NST had become non reassuring at any time in labour, provided all supportive measures but their labour was terminated by caesarean section for sake of mother or baby.Conclusions: It is preferable to induce the patients of oligohydramnios at term with continous fetal heart rate monitoring and also variability of the fetal heart rate pattern with uterine contractions. 

scholarly journals Placental Growth Factor Level is Correlated with Intrapartum Fetal Heart Rate Findings

2021 ◽  
Author(s):  
Hiroaki Tanaka ◽  
Kayo Tanaka ◽  
Sho Takakura ◽  
Naosuke Enomoto ◽  
Shintaro Maki ◽  
...  
Keyword(s):  
Heart Rate ◽  
Growth Factor ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Significant Negative Correlation ◽  
Placental Growth Factor ◽  
Factor Level ◽  
Level 3

Abstract Objective: Here, we tested the correlation between maternal placental growth factor (PlGF) and fetal heart rate (FHR) monitoring findings. Methods: We included 35 women with single pregnancies from 35 to 42 weeks of gestation who were hospitalized due to onset of labor. Blood samples were collected at the start of labor. Intrapartum FHR monitoring parameters included total deceleration area, average deceleration area (mean deceleration area per 10 minutes), and five-tier classification level. Results: Of the 35 women, 26 (74%) had vaginal delivery and 9 (26%) had cesarean section. After excluding 2 women who had cesarean section for arrest of labor, we analyzed 26 women who had vaginal delivery (VD group) and 7 who had cesarean section for fetal indications (CSF group). PlGF level was significantly higher in the VD group (157 ± 106 pg/ml) than in the CSF group (74 ± 62 pg/ml) (P = 0.03). There were no significant correlations between PlGF and total (r = -0.07) or average (r = -0.08) deceleration area. A significant negative correlation was observed between PlGF and the proportion of five-tier classification level 3 or higher (r = -0.42). Conclusion: PlGF was correlated with FHR monitoring findings and might be a promising biomarker of intrapartum fetal function.

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