2002
DOI: 10.1097/00006250-200211000-00022
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Fetal Heart Rate Parameters Predictive of Neonatal Outcome in the Presence of a Prolonged Deceleration

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Cited by 15 publications
(19 citation statements)
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“…The results of our study were similar to Keith et al 5 who concluded in their study that the most significant factor indicating the need for urgent operative delivery was fetal bradycardia and decreased variability for up to 1 hour before the bradycardia and urgent delivery should be considered in any clinical scenario in which the FHR shows evidence of a bradycardia with prior decreased variability.…”
Section: Discussionsupporting
confidence: 90%
“…The results of our study were similar to Keith et al 5 who concluded in their study that the most significant factor indicating the need for urgent operative delivery was fetal bradycardia and decreased variability for up to 1 hour before the bradycardia and urgent delivery should be considered in any clinical scenario in which the FHR shows evidence of a bradycardia with prior decreased variability.…”
Section: Discussionsupporting
confidence: 90%
“…Clinical management should not be a question of "how much more can the fetus take," but the early identification of the fetus that is on a downward trajectory when potentially hostile mechanical or hypoxic features can be avoided or corrected by timely IR. There would seem to be little justification for waiting until the fetus is indeed acidemic before intervening or before terminal bradycardia supervenes [46,47].…”
Section: Discussionmentioning
confidence: 99%
“…Even in the presence of decelerations or bradycardia a fetus that exhibits a normal baseline FHR variability has a very low risk of acidaemia, immediate death, or asphyxial brain injury. [30][31][32] In contrast, absent or reduced FHR variability was associated with significant newborn acidaemia in term and preterm infants. [32][33][34] In a recent systematic review minimal or undetectable FHR variability was the most consistent predictor of newborn acidaemia.…”
Section: Baseline Fhr Variabilitymentioning
confidence: 99%
“…[30][31][32] In contrast, absent or reduced FHR variability was associated with significant newborn acidaemia in term and preterm infants. [32][33][34] In a recent systematic review minimal or undetectable FHR variability was the most consistent predictor of newborn acidaemia. 30 In contrast, increased FHR variation was observed in association with severe acidosis and hypotension in a hypoxia ischaemia model using term-equivalent fetal sheep.…”
Section: Baseline Fhr Variabilitymentioning
confidence: 99%