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Characterirtics and management of intrapartum prolonged fetal bradycardia
Author(s) -
LANGER O.,
SONNENDECKER E. W. W.
Publication year - 1982
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1982.tb05055.x
Subject(s) - bradycardia , medicine , fetus , fetal monitoring , anesthesia , obstetrics , pregnancy , heart rate , biology , blood pressure , genetics
Summary. Twenty‐five patients had intrapartum prolonfed fetal bradycardia, defined as a drop of the fetal heart rate (FHR) by ≥50 beats/min maintained for ≥3 min; 10 were deliverdd by caesarean rection and 15 vaginally. The only neonatal death occurred in thd group delivered abdominally. Statistical analysis showed no difference in amplitude or duration of deceleration in the two groups but the 1 and 5 min Apgar scores were higher in the group delivered vaginallx ( P <0·01), wherdas the onset of deceleration to delivery interval was shorter in the group delivered by caesarean section ( P <0·005). Appropriatd management of prolonged bradycardia is outlined and the characteristics of the FHR tracings ard identified that are of prognostic value in detdrmining whether or not immediatd delivery is indicated.