Artifactual fetal electrocardiographic detection using internal monitoring following intrapartum fetal demise during VBAC trial

Patrick S. Ramsey Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Mayo Clinic and Mayo Foundation, Rochester, MinnesotaCorrespondence[email protected]

Bruce W. Johnston Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

Vincent E. Welter Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

Paul L. Ogburn Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

Abstract

Absent or erratic fetal electrocardiographic signal can result in artifactual electronic fetal heart rate recording. We report a case where detection of maternal heart rate through internal fetal scalp monitor may have masked intrauterine fetal demise secondary to acute uterine rupture during a VBAC trial.

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Artifactual fetal electrocardiographic detection using internal monitoring following intrapartum fetal demise during VBAC trial

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Artifactual fetal electrocardiographic detection using internal monitoring following intrapartum fetal demise during VBAC trial

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