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

被引：20
|
作者：
Tarvonen, Mikko J. [1 ,2 ]
Lear, Christopher A. [3 ]
Andersson, Sture [2 ,4 ]
Gunn, Alistair J. [3 ]
Teramo, Kari A. [1 ,2 ]
机构：
[1] Univ Helsinki, Dept Obstet & Gynaecol, Helsinki, Finland
[2] Helsinki Univ Hosp, Helsinki, Finland
[3] Univ Auckland, Dept Physiol, Fetal Physiol & Neurosci Grp, Auckland, New Zealand
[4] Univ Helsinki, Childrens Hosp, Paediat Res Ctr, Helsinki, Finland
来源：
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 2022年 / 129卷 / 12期
关键词：
acidaemia; cardiotocography; electronic fetal monitoring; fetal heart rate; increased variability; marked variability; neonatal morbidity; pregnancy; saltatory pattern; ZigZag pattern; UMBILICAL-CORD OCCLUSIONS; FIGO CONSENSUS GUIDELINES; RATE PATTERNS; PLASMA ERYTHROPOIETIN; AMNIOTIC-FLUID; CIRCULATING CATECHOLAMINES; NERVOUS-SYSTEM; ACUTE-HYPOXIA; APGAR SCORE; PHYSIOLOGY;
D O I：
10.1111/1471-0528.17234
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
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.
引用
收藏
页码：2070 / 2081
页数：12
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