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

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.

Download Full-text

A Case of Emergency Cesarean Section on Client with Pseudopregnancy

10.32592/zamen.2020.1.1.100 ◽

2020 ◽

pp. 1-6

Keyword(s):

Heart Rate ◽

Cesarean Section ◽

Fetal Heart Rate ◽

Medical Service ◽

Fetal Heart ◽

Placenta Previa ◽

Urban Hospital ◽

Emergency Cesarean Section ◽

Emergency Cesarean ◽

Rural Health Center

Pseudopregnancy detection is significant while as the false pregnancy may show all symptoms. It is important to differentiate it. This is a case report of a pseudopregnancy which led to an emergency cesarean section. A 28-year-old woman who claimed to 7-month pregnancy was brought to the rural health center by husband families complaining of vaginal bleeding. The woman refers to an urban hospital by Emergency Medical Service with the diagnosis of placenta previa. In the hospital, she underwent an emergency cesarean section due to a severe deceleration of fetal heart rate, prior to assessing by sonography. No fetus or signs of uterine or abdominal pregnancy were found. Wrong auscultation of the mother's heart rate instead of fetal heart rate seems to be the main error. It is required to pay more attention to the methods of differentiation of fetal heart rate from the mother's heart rate. This report enlightens false pregnancy and early differentiation.

Download Full-text

Correlation of prolonged fetal heart rate decelerations and perinatal outcome among patients undergoing emergency cesarean section: Implication to standardizing management and notification guidelines

European Journal of Obstetrics & Gynecology and Reproductive Biology ◽

10.1016/j.ejogrb.2018.08.155 ◽

2019 ◽

Vol 234 ◽

pp. e3

Author(s):

Rendy Pratama ◽

Maria Constancia Ferraris

Keyword(s):

Heart Rate ◽

Cesarean Section ◽

Fetal Heart Rate ◽

Perinatal Outcome ◽

Fetal Heart ◽

Emergency Cesarean Section ◽

Emergency Cesarean

Download Full-text

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

10.22541/au.163399115.52605536/v1 ◽

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

Download Full-text