A total of 39 fetuses from five pregnant dogs were used in this study. Fol· lowing pentobarbital anesthesia of the dams the gravid uterus was exposed and partially exteriorized. Fetal and maternal electrocardiograms were recorded, along with fetal abdominal temperatures, during ultrasound exposures of 3.4 MHz and 2, 4 1 6, 8 or 12 W/cm 2 (continuous wave), spatial average intensities. for 6 minutes. Baseline fetal abdominal temperatures were 35.2 ± 1.5 (SD)°C. Baseline fetal heart rates were 176.8 ;t 4.3 (SD) beats per minute. These studies indicate that the product of intensity and time of exposure. under the conditions of these experiments, is directly related to increases in fetal abdominal temperature and fetal heart rate. {Key words: ultrasonography, experimental; dogs, fetuses; heart rate response; thermal response; bioeffects) Diagnostic ultrasonography is considered to be an indispensable prenatal diagnostic tool. With the advent of pulsed Doppler devices. which may generate temporal average intensities up to 1-2 Wlcm 2 at 2-5 MHz, ranges at which untoward in vitro effects have been documented, interest in the possible effects of ultrasound on the fetus has increased. There is one partially anecdotal report of increased fetal movement during ultrasound exposure and this has led to some concern , 1 even though the results were not verified in two similar studies. 2 • 3 The interaction of ultrasound pressure waves with living tissues can result in the production of thermal energy. When living biological tissues are heated metabolic demand increases. In the intact animal, presumably including the fetus, increased metabolic demand is met by increased cardiac output, most often supplied by an increase in heart rate.Most of the controlled studies which provide data on fetal effects have been done in rats and mice where the entire fetus is exposed to the beam. 4 -17 Considerable information is available from these studies which indicates that exposure of pregnant rodents to sufficiently high intensities of continuous wave {CW) ultrasound during early-tomid organogenesis can produce death of the fetus, weight reduction, and a variety of teratogenic ef· fects. The likelihood of producing any effects in larger, more mature fetuses, where only a portion of the fetus is exposed, is not clear.The purpose of this study was to measure changes in fetal body temperature as a result of localized exposure of the thorax in the near-term dog fetus. Second* we wanted to see if these changes could be correlated with changes in one measure of cardiac function, heart rate.
MATERIALS AND METHODSFive pregnant mixed breed, approximately 20 kg body weight* random source dogs scheduled for euthanasia were used in this study. Two of the dams were in the late second trimester, or early third trimester [average fetal weight 112.4 ± 40.5 (SD) g} of pregnancy and the other three were well into the third trimester [average fetal weight 254. 7 507