OBJECTIVE: We aimed to compare individual fetal heart rate (FHR) indices, as determined by computer analysis of the tracing, in pregnancies complicated by gestational diabetes mellitus (GDM), gestational hypertension (PIH), intrauterine growth restriction (IUGR) and premature rupture of membranes (pPROM). METHODS: The study population consisted of 100 pregnant women affected by GDM on diet therapy, 100 pregnant women affected by GDM on insulin therapy, 100 pregnant women affected by PIH, 100 pregnant women affected by IUGR, 100 with premature rupture of membranes far from the term (pPROM) and 100 normal pregnancies matched for age, parity and gestation as controls. The 30-min FHR tracing was analyzed by computer. RESULTS: Baseline FHR, the duration of episodes of low variation and short-term variation was significantly higher in pregnancies complicated by gestational diseases than in controls; only in PIH, IUGR and pPROM were a significant reduction of the numbers of fetal movements. CONCLUSIONS: Our study demonstrates that pregnancies complicated by gestational diseases do an impact on FHR. The alteration is slight but evident; it reflects fetal well-being. Computerized FHR tracing analysis may improve the clinical care and the timing of delivery.
OBJECTIVE: We aimed to compare individual fetal heart rate (FHR) indices, as determined by computer analysis of the tracing, in pregnancies complicated by gestational diabetes mellitus (GDM), gestational hypertension (PIH), intrauterine growth restriction (IUGR) and premature rupture of membranes (pPROM). METHODS: The study population consisted of 100 pregnant women affected by GDM on diet therapy, 100 pregnant women affected by GDM on insulin therapy, 100 pregnant women affected by PIH, 100 pregnant women affected by IUGR, 100 with premature rupture of membranes far from the term (pPROM) and 100 normal pregnancies matched for age, parity and gestation as controls. The 30-min FHR tracing was analyzed by computer. RESULTS: Baseline FHR, the duration of episodes of low variation and short-term variation was significantly higher in pregnancies complicated by gestational diseases than in controls; only in PIH, IUGR and pPROM were a significant reduction of the numbers of fetal movements. CONCLUSIONS: Our study demonstrates that pregnancies complicated by gestational diseases do an impact on FHR. The alteration is slight but evident; it reflects fetal well-being. Computerized FHR tracing analysis may improve the clinical care and the timing of delivery.
Authors: Dirk Hoyer; Jan Żebrowski; Dirk Cysarz; Hernâni Gonçalves; Adelina Pytlik; Célia Amorim-Costa; João Bernardes; Diogo Ayres-de-Campos; Otto W Witte; Ekkehard Schleußner; Lisa Stroux; Christopher Redman; Antoniya Georgieva; Stephen Payne; Gari Clifford; Maria G Signorini; Giovanni Magenes; Fernando Andreotti; Hagen Malberg; Sebastian Zaunseder; Igor Lakhno; Uwe Schneider Journal: Physiol Meas Date: 2017-02-10 Impact factor: 2.833
Authors: Lisa Stroux; Christopher W Redman; Antoniya Georgieva; Stephen J Payne; Gari D Clifford Journal: Acta Obstet Gynecol Scand Date: 2017-09-27 Impact factor: 3.636
Authors: Olga Alvarez-Bulnes; Anna Monés-Llivina; Lluís Cavero-Roig; Paula Sol Ventura; Josefina Llagostera-Benedico; Carme Valls-Sirera; Gemma Talló-Catarineu Journal: Matern Child Health J Date: 2020-04
Authors: Laurent Vandenbroucke; Matthieu Doyen; Maëla Le Lous; Alain Beuchée; Philippe Loget; Guy Carrault; Patrick Pladys Journal: PLoS One Date: 2017-09-25 Impact factor: 3.240