Antepartum Fetal Surveillance

doi:10.1097/aog.0000000000004410

Cited by 54 publications

(1 citation statement)

References 93 publications

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“…A regular test (reactive NST) is usually associated with a neurologically sound and sufficiently oxygenated fetus. An abnormal test (non-reactive NST) is associated with negative fetal or neonatal outcomes 12 , 13 .…”

Section: Introductionmentioning

confidence: 99%

Effect of maternal cortisol levels on fetal heart rate patterns in primiparous pregnant women in the third trimester

Turan

Kaya

2023

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: This study aimed to determine whether maternal cortisol levels affect fetal heart rate patterns in primiparous pregnant women in the third trimester. METHODS: This cross-sectional descriptive study included 400 primiparous pregnant women with uncomplicated pregnancies between November and December 2022. The study included primiparous pregnant women over 18 years old in the third trimester who had not exercised for at least 2 h before the fetal heart rate monitoring and had a healthy pregnancy without consuming any food or drink. Fetuses with decelerating heartbeats and pregnant women who showed uterine contraction and cervical dilation during the fetal heart rate monitoring were excluded from the study. Research data were collected with the data collection form. The fetal heart rate data were collected using a cardiotocograph. At least two accelerations during the 20-min nonstress test period were the basis for diagnosing a reactive nonstress test. About 5 mL of maternal saliva for cortisol measurements was collected before fetal heart rate monitoring. Research data were analyzed with IBM SPSS Statistics for Macintosh, Version 28.0. A p-value of <0.05 was considered significant. RESULTS: There were no significant differences in the comparison of the groups in terms of education and income status, family type, fetal gender, pregnancy planning status, BMI and age averages, or gestational week averages (p>0.05). The number of at least two accelerations required for the diagnosis of reactive NST was also higher in Group 1 (maternal salivary cortisol level ≤24.20). A moderately positive relationship between fetal heart rate and maternal salivary cortisol was observed (r=0.448, p=0.000). In total, 11.9% of the total change in fetal heart rate level is explained by maternal cortisol (R 2 =0.119). Maternal cortisol increases fetal heart rate level (ß=0.349). CONCLUSION: These findings suggest that stress in primiparous pregnant women with high cortisol levels may influence fetal heart rate patterns. It was revealed that the increase in cortisol level, considered a stress hormone, may be a harbinger of fetal tachycardia.

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Section: Introductionmentioning

confidence: 99%

Effect of maternal cortisol levels on fetal heart rate patterns in primiparous pregnant women in the third trimester

Turan

Kaya

2023

Rev. Assoc. Med. Bras.

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Every mother and every fetus matters: A positive pregnancy test = multiple offerings of reproductive risk screening for personal, family, and specific obstetrical‐fetal conditions

Wilson

2022

Intl J Gynecology & Obste

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Pregnant women have expressed frustration about the frequency and brevity of the appointment as well as the lack of fulfillment from their visit. 1 The requirement and need for a focused "pregnant-woman-centered" prenatal care process with time for informed consent and shared decision making are important for optimal prenatal care. 2 For specific reproductive circumstances, such as pregnancy in transgender men, these evidence-based screening practices require more recognition and discussion. 3

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Integrating technologies to provide comprehensive remote fetal surveillance: A prospective pilot study

Nir,

Dvir,

Galler

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo determine the feasibility of extending remote maternal‐fetal care to include fetus well‐being.MethodsThe authors performed a prospective pilot study investigating low‐risk pregnant participants who were recruited at the time of their first full‐term in‐person visit and scheduled for a follow‐up telemedicine visit. Using novel self‐operated fetal monitoring and ultrasound devices, fetal heart monitoring and amniotic fluid volume measurements were obtained to complete a modified biophysical profile (mBPP). Total visit length was measured for both the in‐person first visit and the subsequent telemedicine encounter. A patient satisfaction survey form was obtained.ResultsTen women between 40 + 1 and 40 + 6 weeks of gestation participated in telemedicine encounters. Nine women (90%) were able to complete remote mBPP assessment. For one participant, fetal assessment was not completed due to technically inconclusive fetal monitoring. Another participant was referred for additional assessment in the delivery room. Satisfactory amniotic fluid volume measurements were achieved in 100% of participants. The telemedicine encounter was significantly shorter (93.1 ± 33.1 min) than the in‐person visit (247.2 ± 104.7 min; P < 0.001). We observed high patient satisfaction.ConclusionRemote fetal well‐being assessment is feasible and time‐saving and results in high patient satisfaction. This novel paradigm of comprehensive remote maternal and fetal assessment is associated with important clinical, socioeconomic, and logistics advantages.

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Antepartum Fetal Surveillance

Cited by 54 publications

References 93 publications

Effect of maternal cortisol levels on fetal heart rate patterns in primiparous pregnant women in the third trimester

Effect of maternal cortisol levels on fetal heart rate patterns in primiparous pregnant women in the third trimester

Every mother and every fetus matters: A positive pregnancy test = multiple offerings of reproductive risk screening for personal, family, and specific obstetrical‐fetal conditions

Integrating technologies to provide comprehensive remote fetal surveillance: A prospective pilot study

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