Fetal heart rate changes observed on the CTG trace during instrumental vaginal delivery

Xie, Wan‐Ying; Archer, Abigail; Li, Chao; Cui, Hongyan; Chandraharan, Edwin

doi:10.1080/14767058.2017.1373084

Cited by 10 publications

(8 citation statements)

References 8 publications

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“…First, we assessed the association between marked variability and neonatal acidosis in a population of women with spontaneous vaginal deliveries. Indeed, it has been suggested that marked variability could be induced by instrumental delivery through increased intracranial pressure 21 . Therefore, this analysis aimed to verify that the association remained unchanged in a population where marked variability cannot be a consequence of an instrumental delivery.…”

Section: Methodsmentioning

confidence: 94%

Association between marked fetal heart rate variability and neonatal acidosis: A prospective cohort study

Loussert

Berveiller

Magadoux

et al. 2022

BJOG

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Section: Methodsmentioning

confidence: 94%

Association between marked fetal heart rate variability and neonatal acidosis: A prospective cohort study

Loussert

Berveiller

Magadoux

et al. 2022

BJOG

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“…Furthermore, the pathophysiologic changes that mediate increased FHRV during labour remain poorly understood 34–38 . There is a lack of consensus on factors associated with increased FHRV during labour 27–30,39–42 . Moreover, the clinical significance of increased FHRV is uncertain 27,43,44 …”

Section: Introductionmentioning

confidence: 99%

“…[34][35][36][37][38] There is a lack of consensus on factors associated with increased FHRV during labour. [27][28][29][30][39][40][41][42] Moreover, the clinical significance of increased FHRV is uncertain. 27,43,44 The aims of the present review are to delineate the pathophysiology of increased FHRV, clarify the related terminology, and elucidate its potential clinical utility.…”

Section: Introductionmentioning

confidence: 99%

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

Tarvonen

Lear

Andersson

et al. 2022

BJOG

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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.

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“…Our results are consistent with published literature as for the last 15 years, the most frequent indication for OVD in modern obstetrics is fetal distress. 21 , 22 …”

Section: Discussionmentioning

confidence: 99%

Maternal and Neonatal Outcomes of Operative Vaginal Deliveries at a Single Tertiary Center

Riyami¹,

Salmiyah²,

Khan³

et al. 2021

Oman Med J

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Objectives: Our study sought to assess the maternal and neonatal outcomes of operative vaginal deliveries (OVDs) at Sultan Qaboos University Hospital (SQUH). We assessed the proportion of OVDs along with the proportion of maternal and neonatal outcomes of kiwi OmniCup vacuum, metal cup vacuum, and forceps deliveries. Methods: We conducted a retrospective cohort study in the Obstetrics and Gynecology Department at SQUH from June 2015 to March 2018. The hospital information system was utilized to obtain records of all women who delivered at SQUH by vacuum or forceps during the study period. We collected data on maternal demographics, maternal and neonatal outcomes, and total number of deliveries. Results: During the study period, 3.8% of deliveries were OVDs. The most common instrument used was the Kiwi OmniCup vacuum device. No significant difference was found between the type of tears and instrument used except perineal tears (p =0.003), which was seen more in the vacuum group, particularly Kiwi OmniCup. Neonatal birth weight (p =0.046) was significantly higher in the metallic vacuum cup group. Thirty-one neonates (6.6%) were admitted to the neonatal intensive care unit, and most were born using Kiwi OmniCup vacuum (67.7%). Conclusions: OVD is an ideal alternative to cesarean section with fewer maternal and neonatal complications in women who cannot deliver spontaneously if performed by a well-trained obstetrician.

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Fetal heart rate changes observed on the CTG trace during instrumental vaginal delivery

Cited by 10 publications

References 8 publications

Association between marked fetal heart rate variability and neonatal acidosis: A prospective cohort study

Association between marked fetal heart rate variability and neonatal acidosis: A prospective cohort study

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

Maternal and Neonatal Outcomes of Operative Vaginal Deliveries at a Single Tertiary Center

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