Comparison of intrapartum fetal heart rate tracings in patients with neonatal seizures vs. no seizures: what are the differences?

Verfasser / Beitragende:
[Keith P. Williams, France Galerneau]
Ort, Verlag, Jahr:
2004
Enthalten in:
Journal of Perinatal Medicine, 32/5(2004-09-01), 422-425
Format:
Artikel (online)
ID: 378917277
LEADER caa a22 4500
001 378917277
003 CHVBK
005 20180305123556.0
007 cr unu---uuuuu
008 161128e20040901xx s 000 0 eng
024 7 0 |a 10.1515/JPM.2004.140  |2 doi 
035 |a (NATIONALLICENCE)gruyter-10.1515/JPM.2004.140 
245 0 0 |a Comparison of intrapartum fetal heart rate tracings in patients with neonatal seizures vs. no seizures: what are the differences?  |h [Elektronische Daten]  |c [Keith P. Williams, France Galerneau] 
520 3 |a Objective: To determine which intrapartum fetal heart rate parameters in the presence of severe neonatal acidosis (pH < 7.0) appropriately predicts the development of neonatal seizures in the context of hypoxic ischemic encephalopathy (HIE). Methods: The intrapartum fetal heart rate tracings of 25 neonates who developed neonatal seizures secondary to HIE were compared with 25 matched neonates with similar pH and gestational age who did not develop seizures. All patients had at least 2 hours of intrapartum fetal heart rate patterns available for review. We compared the fetal heart rate parameters of prolonged deceleration, variable and late decelerations, variability, accelerations, fetal heart rate baseline and duration of the fetal heart rate abnormality. Comparison between the groups was done using chi-square for nominal data and student t-tests for continuous data. Results: Neonates with seizures 2° HIE had a significantly longer duration of abnormal fetal heart rate patterns (72 ± 12 minutes vs 48 ± 12 minutes, p < 0.001). Discussion: This study demonstrated that in the setting of neonatal acidosis the development of seizures is related to the period of stress (duration of the abnormal fetal heart rate pattern). 
540 |a © Walter de Gruyter 
690 7 |a Human reproduction, growth & development  |2 nationallicence 
690 7 |a Gynaecology & obstetrics  |2 nationallicence 
690 7 |a Paediatric medicine  |2 nationallicence 
690 7 |a Intrapartum fetal heart rate  |2 nationallicence 
690 7 |a cesarean section  |2 nationallicence 
690 7 |a neonatal acidemia  |2 nationallicence 
700 1 |a Williams  |D Keith P.  |u Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, U.S.A.  |4 aut 
700 1 |a Galerneau  |D France  |u Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, U.S.A.  |4 aut 
773 0 |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 32/5(2004-09-01), 422-425  |x 0300-5577  |q 32:5<422  |1 2004  |2 32  |o jpme 
856 4 0 |u https://doi.org/10.1515/JPM.2004.140  |q text/html  |z Onlinezugriff via DOI 
908 |D 1  |a research article  |2 jats 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1515/JPM.2004.140  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Williams  |D Keith P.  |u Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, U.S.A  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Galerneau  |D France  |u Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, U.S.A  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 32/5(2004-09-01), 422-425  |x 0300-5577  |q 32:5<422  |1 2004  |2 32  |o jpme 
900 7 |b CC0  |u http://creativecommons.org/publicdomain/zero/1.0  |2 nationallicence 
898 |a BK010053  |b XK010053  |c XK010000 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-gruyter