Advanced search
Publication Cover
The Journal of Maternal-Fetal & Neonatal Medicine Volume 34, 2021 - Issue 14
Submit an article Journal homepage
1,282
Views
19
CrossRef citations to date
0
Altmetric
Original Articles

Physiological CTG interpretation: the significance of baseline fetal heart rate changes after the onset of decelerations and associated perinatal outcomes

Yan-Ju Jiaa Department of Obstetrics, Tianjin Central Hospital of Obstetrics and Gynaecology, Tianjin, China;b Tianjin Key Laboratory of Human Development and Reproductive Regulation, Affiliated Hospital of Obstetrics and Gynaecology of Nankai University, Tianjin, China
,
Xu Chena Department of Obstetrics, Tianjin Central Hospital of Obstetrics and Gynaecology, Tianjin, China;b Tianjin Key Laboratory of Human Development and Reproductive Regulation, Affiliated Hospital of Obstetrics and Gynaecology of Nankai University, Tianjin, China
,
Hong-Yan Cuia Department of Obstetrics, Tianjin Central Hospital of Obstetrics and Gynaecology, Tianjin, China;b Tianjin Key Laboratory of Human Development and Reproductive Regulation, Affiliated Hospital of Obstetrics and Gynaecology of Nankai University, Tianjin, ChinaCorrespondence[email protected]
,
Virginia Whelehanc Labour Ward, St. George’s University Hospitals NHS Foundation Trust, London, United Kingdom
,
Abigail Archerc Labour Ward, St. George’s University Hospitals NHS Foundation Trust, London, United Kingdom
&
Edwin Chandraharanc Labour Ward, St. George’s University Hospitals NHS Foundation Trust, London, United Kingdom
Pages 2349-2354 | Received 16 Feb 2019, Accepted 09 Sep 2019, Published online: 18 Sep 2019

References

  • Alfirevic Z, Devane D, Gyte GM, et al. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database Syst Rev. 2017;2:CD006066.
  • Nelson KB, Dambrosia JM, Ting TY, et al. Uncertainvalue of electronic fetal monitoring in predicting cerebral palsy. N Engl J Med. 1996;334(10):613–618.
  • Garabedian C, De Jonckheere J, Butruille L, et al. Understanding fetal physiology and second line monitoring during labor. J Gynecol Obstet Hum Reprod. 2017;46(2):113–117.
  • Ayres-de-Campos D, Spong CY, Chandraharan E, et al. FIGO consensus guidelines on intrapartum fetal monitoring: cardiotocography. Int J Gynecol Obstet. 2015;131(1):13–24.
  • Chandraharan E. Rational approach to electronic fetal monitoring during labour in “all” resource settings. Sri Lanka J Obstet & Gynae. 2010;32(4):77.
  • Richardson BS, Carmichael L, Homan J, et al. Fetal cerebral, circulatory, and metabolic responses during heart rate decelerations with umbilical cord compression. Am J Obstet Gynecol. 1996;175(4):929–936.
  • Jensen A, Garnier Y, Berger R. Dynamics of fetal circulatory responses to hypoxia and asphyxia. Eur J Obstet Gynecol Reprod Biol. 1999;84(2):155–172.
  • Bennet L, Westgate JA, Liu YC, et al. Fetal acidosis and hypotension during repeated umbilical cord occlusions are associated with enhanced chemoreflex responses in near-term fetal sheep. J Appl Physiol (1985). 2005;99(4):1477–1482.
  • Frasch MG, Mansano RZ, Gagnon R, et al. Measures of acidosis with repetitive umbilical cord occlusions leading to fetal asphyxia in the near-term ovine fetus. Am J Obstet Gynecol. 2009;200(2):200.e1–200.e7.
  • Keunen H, Hasaart T. Fetal arterial pressure and heart rate changes in surviving and non-surviving immature fetal sheep following brief repeated total umbilical cord occlusions. Eur J Obstet Gynecol Reprod Biol. 1999;87(2):151–157.
  • Westgate JA, Bennet L, Gunn AJ. Fetal heart rate variability changes during brief repeated umbilical cord occlusion in near term fetal sheep. BJOG: An Int J O&G. 1999;106(7):664–671.
  • Pinas A, Chandraharan E. Continuous cardiotocography during labour: analysis, classification and management. Best Pract Res Clin Obstet Gynaecol. 2016;30:33–47.
  • Dellinger EH, Boehm FH, Crane MM. Electronic fetal heart rate monitoring: early neonatal outcomes associated with normal rate, fetal stress, and fetal distress. Am J Obstet Gynecol. 2000;182(1):214–220.
  • Williams KP, Galerneau F. Intrapartum fetal heart rate patterns in the prediction of neonatal acidemia. Am J Obstet Gynecol. 2003;188(3):820–823.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Order Reprints Request Corporate Permissions

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

Request Academic Permissions

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.

Related research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.