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Second Stage Fetal Heart Rate Decelerations in Breech Deliveries
Author(s) -
Ohel Gonen,
Brjejinski Am,
Linder Nechama,
Navot Daniel
Publication year - 1988
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1988.tb00114.x
Subject(s) - bradycardia , fetal heart rate , medicine , breech presentation , heart rate , stage (stratigraphy) , fetus , fetal head , anesthesia , reflex , cardiology , pregnancy , blood pressure , biology , genetics , paleontology
Observation of 35 term breech fetuses in the second stage of labor, demonstrated a 77% incidence of periodic fetal heart rate (FHR) decelerations, characterized by brisk onset and quick recovery. As head compression cannot be an important factor in such labors, the FHR changes are most probably caused by cord compression and its associated vagal reflex bradycardia. The high prevalence of such FHR changes underscores the need for continuous FHR monitoring of breech deliveries throughout the second stage of labor.