Fetal brain death. Two case reports

Fetal Movements During Fetal Brain Death-Like Status

“…Except the presence of fetal movements, the time course and outcomes of our current case are exactly the same as those in fetal brain death syndrome reported previously [1][2][3][4][5][6]. The clinical features of fetal brain death syndrome include fixing of FHR and loss of any fetal movements.…”

“…The clinical features of fetal brain death syndrome include fixing of fetal heart rate (FHR) without decelerations and loss of fetal movements [1][2][3][4][5][6]. The etiological mechanism is thought to be chronic or acute hypoxia, resulting from a pathological state such as a temporary disruption of umbilical blood flow.…”

“…However, it is unknown when the fetal brain damage occurs and how it progresses in fetal brain death syndrome. Recently, we have encountered a case of severe fetal brain damage, which is exactly the same as fetal brain death syndrome [1][2][3][4][5][6]. In the case with severe brain death-like status, however, fetal movements were observed until delivery.…”

Cerebral blood flow in a case of fetal brain death syndrome

“…Also recorded were: white blood cell count 7700/mm 3 , red blood cell count 372 × 10 4 /mm 3 , hemoglobin 14.2 g/dL, hematocrit 41.3% and platelet count 18.2 × 10 4 /mm 3 ; these were all normal. The following protein and ion concentrations were found: C-reactive protein 0.3 mg/dL, sodium 140 mEq/L, potassium 3.9 mEq/L, aspartate transaminase 82 IU/L, alanine transaminase 21 IU/L, lactate dehydrogenase (LDH) 852 IU/L, and creatine kinase (CK) 243 U/L.…”

Why Does Perinatal Morbidity Increase

“…Some of these have been identified by fetal monitoring and there is a growing number of reports in which a sudden decrease in fetal movements in otherwise. uneventful pregnancies is decribed in association with a flat fetal heart rate pattern (11,21). During labour scalp pH is normal and also at deliveiy cord gases are normal; however, the Apgar score is low.…”