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

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 f...

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Autores principales: Tarvonen, Mikko J., Lear, Christopher A., Andersson, Sture, Gunn, Alistair J., Teramo, Kari A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9796294/
https://www.ncbi.nlm.nih.gov/pubmed/35596699
http://dx.doi.org/10.1111/1471-0528.17234
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author Tarvonen, Mikko J.
Lear, Christopher A.
Andersson, Sture
Gunn, Alistair J.
Teramo, Kari A.
author_facet Tarvonen, Mikko J.
Lear, Christopher A.
Andersson, Sture
Gunn, Alistair J.
Teramo, Kari A.
author_sort Tarvonen, Mikko J.
collection PubMed
description 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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spelling pubmed-97962942022-12-30 Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies Tarvonen, Mikko J. Lear, Christopher A. Andersson, Sture Gunn, Alistair J. Teramo, Kari A. BJOG REVIEW ARTICLE 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. John Wiley and Sons Inc. 2022-06-05 2022-11 /pmc/articles/PMC9796294/ /pubmed/35596699 http://dx.doi.org/10.1111/1471-0528.17234 Text en © 2022 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle REVIEW ARTICLE
Tarvonen, Mikko J.
Lear, Christopher A.
Andersson, Sture
Gunn, Alistair J.
Teramo, Kari A.
Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies
title Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies
title_full Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies
title_fullStr Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies
title_full_unstemmed Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies
title_short Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies
title_sort increased variability of fetal heart rate during labour: a review of preclinical and clinical studies
topic REVIEW ARTICLE
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9796294/
https://www.ncbi.nlm.nih.gov/pubmed/35596699
http://dx.doi.org/10.1111/1471-0528.17234
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