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Erschienen in:

01.03.2008 | Original Article

Fetal heart rate pattern reflecting the severity of placental abruption

verfasst von: Rie Usui, Shigeki Matsubara, Akihide Ohkuchi, Tomoyuki Kuwata, Takashi Watanabe, Akio Izumi, Mitsuaki Suzuki

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 3/2008

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Abstract

Objective

To identify fetal heart rate (FHR) patterns reflecting the severity of placental abruption, and to determine the incidence of normal FHR pattern in cases of placental abruption.

Materials and methods

We analyzed FHR tracings from 40 pregnant Japanese women with placental abruption. We analyzed which FHR patterns appeared more frequently in cases of low 5-min Apgar score, low cord arterial pH, and large separation.

Results

Eight out of 40 cases showed a normal FHR pattern, while 32 cases did not show a normal FHR pattern. Undetectable variability and bradycardia appeared more frequently in cases with 5-min Apgar < 7, with cord blood pH < 7.1, and with larger placental separation than in cases without these features. The normal FHR pattern was associated with 5-min Apgar ≥ 7, cord blood pH ≥ 7.1, and separation of <25%.

Conclusion

Fetal heart rate pattern reflected the severity of placental abruption. Undetectable variability and bradycardia occurred significantly more frequently in cases of severe placental abruption, and thus may reflect the severity of placental abruption.

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Titel: Fetal heart rate pattern reflecting the severity of placental abruption
verfasst von: Rie Usui
Shigeki Matsubara
Akihide Ohkuchi
Tomoyuki Kuwata
Takashi Watanabe
Akio Izumi
Mitsuaki Suzuki
Publikationsdatum: 01.03.2008
Verlag: Springer-Verlag
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 3/2008
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-007-0471-9

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Fetal heart rate pattern reflecting the severity of placental abruption