Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports

Fetal growth restriction (FGR) is characterized by fetal compromise and delayed neurological maturation. We report 3 cases of early FGR in the 26th week of gestation, based on hemodynamic Doppler monitoring, conventional cardiotocography, and non-invasive fetal electrocardiography (NI-FECG). Fetal h...

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Autores principales: Lakhno, Igor Victorovich, Alexander, Schmidt
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6856482/
https://www.ncbi.nlm.nih.gov/pubmed/31777744
http://dx.doi.org/10.5468/ogs.2019.62.6.469
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author Lakhno, Igor Victorovich
Alexander, Schmidt
author_facet Lakhno, Igor Victorovich
Alexander, Schmidt
author_sort Lakhno, Igor Victorovich
collection PubMed
description Fetal growth restriction (FGR) is characterized by fetal compromise and delayed neurological maturation. We report 3 cases of early FGR in the 26th week of gestation, based on hemodynamic Doppler monitoring, conventional cardiotocography, and non-invasive fetal electrocardiography (NI-FECG). Fetal heart rate variability (HRV), beat-to-beat variations, and fetal autonomic brain age scores (fABASs) were normal despite the absence of umbilical diastolic flow in the first case and the pregnancy continued to 30 weeks. NI-FECG helped achieve better fetal maturity. Fetal HRV and fABASs were low in the second and third cases. Fetal demise occurred soon in both cases. We conclude that NI-FECG could be a prospective method for the detection of fetal distress in early FGR.
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spelling pubmed-68564822019-11-27 Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports Lakhno, Igor Victorovich Alexander, Schmidt Obstet Gynecol Sci Case Report Fetal growth restriction (FGR) is characterized by fetal compromise and delayed neurological maturation. We report 3 cases of early FGR in the 26th week of gestation, based on hemodynamic Doppler monitoring, conventional cardiotocography, and non-invasive fetal electrocardiography (NI-FECG). Fetal heart rate variability (HRV), beat-to-beat variations, and fetal autonomic brain age scores (fABASs) were normal despite the absence of umbilical diastolic flow in the first case and the pregnancy continued to 30 weeks. NI-FECG helped achieve better fetal maturity. Fetal HRV and fABASs were low in the second and third cases. Fetal demise occurred soon in both cases. We conclude that NI-FECG could be a prospective method for the detection of fetal distress in early FGR. Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 2019-11 2019-10-15 /pmc/articles/PMC6856482/ /pubmed/31777744 http://dx.doi.org/10.5468/ogs.2019.62.6.469 Text en Copyright © 2019 Korean Society of Obstetrics and Gynecology http://creativecommons.org/licenses/by-nc/3.0/ Articles published in Obstet Gynecol Sci are open-access, distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lakhno, Igor Victorovich
Alexander, Schmidt
Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports
title Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports
title_full Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports
title_fullStr Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports
title_full_unstemmed Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports
title_short Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports
title_sort fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6856482/
https://www.ncbi.nlm.nih.gov/pubmed/31777744
http://dx.doi.org/10.5468/ogs.2019.62.6.469
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