Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports
Obstetrics & Gynecology Science
;
: 469-473, 2019.
Article
in English
| WPRIM
| ID: wpr-760671
ABSTRACT
Fetal growth restriction (FGR) is characterized by fetal compromise and delayed neurological maturation. We report 3 cases of early FGR in the 26th week of gestation, based on hemodynamic Doppler monitoring, conventional cardiotocography, and non-invasive fetal electrocardiography (NI-FECG). Fetal heart rate variability (HRV), beat-to-beat variations, and fetal autonomic brain age scores (fABASs) were normal despite the absence of umbilical diastolic flow in the first case and the pregnancy continued to 30 weeks. NI-FECG helped achieve better fetal maturity. Fetal HRV and fABASs were low in the second and third cases. Fetal demise occurred soon in both cases. We conclude that NI-FECG could be a prospective method for the detection of fetal distress in early FGR.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Heart Rate, Fetal
/
Brain
/
Cardiotocography
/
Prospective Studies
/
Fetal Development
/
Electrocardiography
/
Fetal Death
/
Embryonic and Fetal Development
/
Fetal Distress
/
Fetus
Type of study:
Observational study
/
Risk factors
Limits:
Pregnancy
Language:
English
Journal:
Obstetrics & Gynecology Science
Year:
2019
Type:
Article
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