Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies.

Tytuł:: Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies.
Autorzy:: Tarvonen MJ; Department of Obstetrics and Gynaecology, University of Helsinki, and Helsinki University Hospital, Helsinki, Finland.
Lear CA; Fetal Physiology and Neuroscience Group, Department of Physiology, University of Auckland, Auckland, New Zealand.
Andersson S; Children's Hospital, Paediatric Research Centre, University of Helsinki, and Helsinki University Hospital, Helsinki, Finland.
Gunn AJ; Fetal Physiology and Neuroscience Group, Department of Physiology, University of Auckland, Auckland, New Zealand.
Teramo KA; Department of Obstetrics and Gynaecology, University of Helsinki, and Helsinki University Hospital, Helsinki, Finland.
Źródło:: BJOG : an international journal of obstetrics and gynaecology [BJOG] 2022 Nov; Vol. 129 (12), pp. 2070-2081. Date of Electronic Publication: 2022 Jun 05.
Typ publikacji:: Journal Article; Review
Język:: English
Imprint Name(s):: Publication: : Oxford : Wiley-Blackwell
Original Publication: Oxford [England] : Blackwell Science, [2000]-
MeSH Terms:: Heart Rate, Fetal*/physiology
Labor, Obstetric*
Animals ; Cardiotocography ; Female ; Humans ; Hypoxia ; Parturition ; Pregnancy
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Grant Information:: Finska Läkaresällskapet; Foundation for Pediatric Research, Finland; Health Research Council of New Zealand; Olga and Vilho Linnamo Foundation; Society for Pediatric Research in Finland; Special Governmental Subsidy for Clinical Research, Finland
Contributed Indexing:: Keywords: ZigZag pattern; acidaemia; cardiotocography; electronic fetal monitoring; fetal heart rate; increased variability; marked variability; neonatal morbidity; pregnancy; saltatory pattern
Entry Date(s):: Date Created: 20220521 Date Completed: 20221018 Latest Revision: 20231025
Update Code:: 20240105
PubMed Central ID:: PMC9796294
DOI:: 10.1111/1471-0528.17234
PMID:: 35596699
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Increased fetal heart rate variability (FHRV) in intrapartum cardiotocographic recording has been variably defined and poorly understood, limiting its clinical utility. Both preclinical (animal) and clinical (human) evidence support that increased FHRV is observed in the early stage of intrapartum fetal hypoxaemia but can also be observed in a subset of fetuses during the preterminal stage of repeated hypoxaemia. This review of available evidence provides data and expert opinion on the pathophysiology of increased FHRV, its clinical significance and a stepwise approach regarding the management of this pattern, and propose recommendations for standardisation of related terminology.
(© 2022 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.)

Comment in: BJOG. 2023 Nov;130(12):1557-1558. (PMID: 36746779)

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