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Fetal Heart Tracing

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101. Fetal heart ventricle mass obtained by STIC acquisition combined with inversion mode and VOCAL. (PubMed)

-dimensional inversion mode and Virtual Organ Computer-aided AnaLysis (VOCAL™) for fetal cardiac mass assessment in healthy fetuses in the second and third trimesters.STIC acquisition was performed during fetal quiescence with the abdomen uppermost, at an angle of 30-50°, without color Doppler mapping. Myocardial volume measurements were performed in postprocessing using VOCAL mode, set to 15°. Beginning with the heart in four-chamber view at end diastole, a trace was drawn manually including (...) Fetal heart ventricle mass obtained by STIC acquisition combined with inversion mode and VOCAL. Estimation of fetal heart ventricular mass is important for fetal cardiac evaluation in cases of structural or functional cardiac disorders or extracardiac factors. It may be used with other cardiac parameters to ascertain the severity and prognosis of such disorders, or the nature and timing of intervention. We applied a novel technique combining spatiotemporal image correlation (STIC) with three

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2011 Ultrasound in Obstetrics and Gynecology

102. Interobserver and intraobserver reliability of the NICHD 3-Tier Fetal Heart Rate Interpretation System. (PubMed)

Interobserver and intraobserver reliability of the NICHD 3-Tier Fetal Heart Rate Interpretation System. Our purpose was to test the reliability of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 3-Tier Fetal Heart Rate (FHR) classification system.Individual 15- to 20-minute FHR segments (n = 154) were independently reviewed without clinical data by 3 maternal-fetal medicine examiners and classified by NICHD category (I, II, III).Interobserver (...) reliability was moderate (kappa 0.45) and varied by NICHD category (category I moderate [kappa 0.48], category II moderate [kappa 0.44], and category III poor [kappa 0.0]). The intraobserver agreement ranged from substantial to perfect (kappa 0.74-1.0).Interobserver agreement of 3-Tier FHR classification System was moderate for NICHD categories I and II. Agreement for category III tracings was poor mainly due to lack of agreement regarding absent vs minimal variability.Copyright © 2011 Mosby, Inc. All

2011 American Journal of Obstetrics and Gynecology

103. Intrapartum fetal surveillance

during labour 2 · Uses external Doppler US to monitor FHR and pressure transducers strapped to the abdomen to monitor uterine contractions 17 · Requires physical attachment to CTG machine if telemetry not available · Associated with high false positive results and inconsistent FHR tracing interpretations 5 Internal CTG- Fetal scalp electrode (FSE) · Recommended when: o Concerns with baseline variability o Difficulty: ? Auscultating the fetal heart ? Obtaining an adequate fetal heart rate tracing (...) of meconium if membranes ruptured · Correct hypotension Additional measures 8 · Consider: o Transition to CEFM o Expediting birth 8 3.5 Mode of continuous monitoring Table 7. Modes of Cardiotocography Aspect Recommendations External · Uses external Doppler US to monitor fetal heart rate and pressure transducers strapped to the abdomen to monitor uterine contractions 17 · Requires physical attachment to CTG machine · Associated with high false positive results and inconsistent FHR tracing interpretations 5

2010 Clinical Practice Guidelines Portal

104. Clinical practice guideline for the management of women who report decreased fetal movements

is recorded at one minute and five minutes after birth. Cardiotocography (CTG) The electronic monitoring of the fetal heart rate and of uterine contractions. The fetal heart rate is recorded by means of either an external ultrasonic abdominal transducer or a fetal scalp electrode. Uterine contractions are recorded by means of an abdominal pressure transducer. The recordings are graphically represented on a continuous paper print-out (trace). Congenital malformation A physical malformation, chromosomal (...) fetal movements 11 1. Introduction 13 2. Purpose of the guideline 13 3. Audience 13 4. Aims and objectives 14 5. Methods 14 6. Background 14 7. Defining DFM and maternal perception of fetal activity 16 8. The role of formal fetal movement counting 18 9. Which investigations should be undertaken for DFM? 20 9.1 Fetal heart rate monitoring 20 9.2 Ultrasound scans for DFM 22 9.3 Fetomaternal haemorrhage and DFM 23 10. Ongoing maternal concern about DFM 24 11. Discussion and implication for further

2010 Clinical Practice Guidelines Portal

105. Heart Disease and Stroke Statistics?2012 Update

Heart Disease and Stroke Statistics?2012 Update Heart Disease and Stroke Statistics—2012 Update | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 Free Access article Share on Jump to Free Access article Heart Disease and Stroke Statistics—2012 Update A Report From the American (...) Heart Association , , MD, MPH, FAHA , MD , MD, ScM, FAHA , MD, ScM, FAHA , MD , MD , MD , MD, PhD , MD, MPH, FAHA , MD, MPH , MD , MS , DPH, MS , MD, FAHA , PhD, FAHA , MD , MD, FAHA , DrPH, MSPH, FAHA , PhD, MPH , PhD, FAHA , DrPH , MD, MAS, FAHA , MD, MPH , MD, FAHA , PhD, MPH , MD, DrPH, FAHA , PhD , MD, MPH, FAHA , PhD, MHSc , MD, MSc, MS , PhD , MD, MPH , MD, FAHA , MD , PhD, MPH, FAHA , and MD, MS, FAHA MPHon behalf of the American Heart Association Statistics Committee and Stroke Statistics

2012 American Heart Association

106. Practice bulletin no. 116: Management of intrapartum fetal heart rate tracings. (PubMed)

Practice bulletin no. 116: Management of intrapartum fetal heart rate tracings. Intrapartum electronic fetal monitoring (EFM) is used for most women who give birth in the United States. As such, clinicians are faced daily with the management of fetal heart rate (FHR) tracings. The purpose of this document is to provide obstetric care providers with a framework for evaluation and management of intrapartum EFM patterns based on the new three-tiered categorization.

2010 Obstetrics and Gynecology

109. Identification of a hybrid myocardial zone in the mammalian heart after birth (PubMed)

Identification of a hybrid myocardial zone in the mammalian heart after birth Noncompaction cardiomyopathy is characterized by the presence of extensive trabeculations, which could lead to heart failure and malignant arrhythmias. How trabeculations resolve to form compact myocardium is poorly understood. Elucidation of this process is critical to understanding the pathophysiology of noncompaction disease. Here we use genetic lineage tracing to mark the Nppa+ or Hey2+ cardiomyocytes (...) as trabecular and compact components of the ventricular wall. We find that Nppa+ and Hey2+ cardiomyocytes, respectively, from the endocardial and epicardial zones of the ventricular wall postnatally. Interposed between these two postnatal layers is a hybrid zone, which is composed of cells derived from both the Nppa+ and Hey2+ populations. Inhibition of the fetal Hey2+ cell contribution to the hybrid zone results in persistence of excessive trabeculations in postnatal heart. Our findings indicate

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2017 Nature communications

110. To Compare the Efficacy Between 3 Fetal Monitoring Methods (EUM)

-Aviv Sourasky Medical Center Information provided by (Responsible Party): Tel-Aviv Sourasky Medical Center Study Details Study Description Go to Brief Summary: Background: Identification and measurement of fetal heart tracings throughout pregnancy and labor is crucial to the well-being of the fetus. Non reassuring fetal heart rate is one of the most common indications for operative vaginal delivery or cesarean section. Therefore, management of labor requires reliable and accurate information about (...) fetal heart rate. In most normal spontaneous labors, fetal heart rate is characterized by the baseline heart rate (from 110 to 160 beats per minute), variability (beat to beat changes) and periodic changes (accelerations or decelerations). In each stage of labor the tracing may have different characteristics, with variable decelerations much more common at the end of the second stage of labor. Objective: To Show non inferiority of the EUM to the fetal doppler and scalp electrode by comparing

2016 Clinical Trials

111. Fetal Awareness: Review of Research and Recommendations for Practice

for signalling noxious events to the central nervous system. Noxious stimuli are those that damage the tissues of the body or threaten to do so, such as surgical incision or physical trauma of the skin. In this context, we define pain as ‘the unpleasant sensory or emotional response to such tissue damage’ and trace the development of those responses through fetal development. We follow the path of the sig- nals produced by tissue damage at sensory detectors in the skin and other organs, through to sensory (...) Fetal Awareness: Review of Research and Recommendations for Practice Royal College of Obstetricians and Gynaecologists March 2010 Fetal Awareness Review of Research and Recommendations for PracticeFetal Awareness Review of Research and Recommendations for Practice REPORT OF A WORKING PARTY March 2010 Royal College of Obstetricians and Gynaecologists© 2010 Royal College of Obstetricians and Gynaecologists First published 2010 All rights reserved. No part of this publication may be reproduced

2010 Royal College of Obstetricians and Gynaecologists

112. A new method for the extraction of fetal ECG from the dependent abdominal signals using blind source separation and adaptive noise cancellation techniques (PubMed)

A new method for the extraction of fetal ECG from the dependent abdominal signals using blind source separation and adaptive noise cancellation techniques The electrocardiogram (ECG) is a diagnostic tool that records the electrical activity of the heart, and depicts it as a series of graph-like tracings, or waves. Being able to interpret these details allows diagnosis of a wide range of heart problems. Fetal electrocardiogram (FECG) extraction has an important impact in medical diagnostics (...) use the Kullbak-Leibler divergence between copula densities to separate the fetal heart rate from the mother one, for both independent and dependent cases.

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2015 Theoretical biology & medical modelling

113. Pregnancy Outcome in Women with Decreased Sensation of Fetal Movements at Term According to Parity. (PubMed)

% CI 1.01-1.8]), 1-minute Apgar score less than 7 (aOR 2.3 [95% CI 1.5-3.5]) and neonatal seizures (aOR 3.2 [95% CI 1.3-8.2]). For multiparous women, DFM was associated with unscheduled CD (aOR 2.7 [95% CI 1.6-4.6]) and CD indicated by intermediate/abnormal fetal heart rate tracing (aOR 4.8 [95% CI 2.8-8.4]).DFM carries different outcomes according to parity. Although for nulliparous women, DFM is associated with increased risk of CD and immediate adverse perinatal outcome, for multiparous women (...) Pregnancy Outcome in Women with Decreased Sensation of Fetal Movements at Term According to Parity. Decreased sensation of fetal movements (DFM) is a common maternal complaint. Thus, we aimed to evaluate the association between DFM and pregnancy outcome in singleton gestation at term according to parity.A retrospective cohort study of singleton pregnancies at term between 2008 and 2013. Eligibility was limited to women carrying a fetus with no known structural or chromosomal anomalies, at 37+0

2015 Birth

114. 3D Ultrasonography Fetal Lung Volume Measurement and Neonatal Respiratory Function

volume (FLV) measured using Voluson 730 Expert ultrasonography machine (GE Healthcare Austria GmbH, Seoul, Korea) equipped with a 4- to 8- MHz transabdominal transducer for 3-dimensional (3D) volume scanning. A single examiner will perform all ultrasound examinations with the following technique; a transverse section of the fetal thorax at the level of the 4-chamber view, with the fetal heart proximal to the transducer, was identified by 2-dimensional ultrasonography, and the volume box (...) & general anesthesia upon doing CS) or oligohydramnios (amniotic fluid index < 5th centile), rupture of membranes, the presence of fetal malformations (chest, heart or abdominal) or abnormal fetal growth (defined as: estimated fetal weight < 5th centile or > 95th centile and/or abdominal circumference < 5th centile or > 95th centile). Also, women with a cardiac pacemaker were excluded (as the transmitter necessary for the lung volume measurements could disturb the function of the pacemaker). Contacts

2015 Clinical Trials

115. Feasibility of Noninvasive Fetal Electrocardiographic Monitoring in a Clinical Setting. (PubMed)

Feasibility of Noninvasive Fetal Electrocardiographic Monitoring in a Clinical Setting. Cardiac rhythm is an essential component of fetal cardiac evaluation. The Monica AN24 is a fetal heart rate monitor that may provide a quick, inexpensive modality for obtaining a noninvasive fetal electrocardiogram (fECG) in a clinical setting. The fECG device has the ability to acquire fECG signals and allow calculation of fetal cardiac time intervals between 16- and 42-week gestational age (GA). We aimed (...) to demonstrate the feasibility of fECG acquisition in a busy fetal cardiology clinic using the Monica fetal heart rate monitor. This is a prospective observational pilot study of fECG acquired from fetuses referred for fetal echocardiography. Recordings were performed for 5-15 min. Maternal signals were attenuated and fECG averaged. fECG and fetal cardiac time intervals (PR, QRS, RR, and QT) were evaluated by two cardiologists independently and inter-observer reliability was assessed using intraclass

2015 Pediatric Cardiology

116. The Fetal EKG Study

. ClinicalTrials.gov Identifier: Other Study ID Numbers: South Shore Fetal EKG study First Posted: December 19, 2014 Last Update Posted: November 14, 2017 Last Verified: November 2017 Keywords provided by Mindchild Medical Inc.: Fetal Heart Rate Fetal EKG FHR tracing fetal R-waves (...) : The objective is to contribute data to ongoing research activities focused on identification of EKG waveform changes in the context of clinical conditions and maternal medication use. Additionally, to develop the capacity to measure contractions more accurately and more reliably using skin-surface electrodes. Condition or disease Intervention/treatment Labor Device: Fetal Heart Rate Monitor Detailed Description: Specific Aim 1: To develop a technique for the quantitative analysis of fetal heart-rate (FHR

2014 Clinical Trials

117. To Compare the Efficacy Between 3 Fetal Monitoring Methods

doppler. Output of the EUM. Three noncontinuous segments of 30 minutes each with two segments occurring during the first stage of labor and the third occurring during the second stage of labor, will be randomly picked from the scalp electrode recording with 3 matching segments in time from the EUM100pro and the fetal doppler. Outcome Measures Go to Primary Outcome Measures : The difference between the fetal scalp electrode tracings and the EUM tracings of the fetal heart activity. [ Time Frame: 12 (...) months ] The mean False Positive Rate (FPR) for individual tracing identification (between EUM, scalp electrode and fetal Doppler) Accuracy [ Time Frame: 12 months ] The difference in fetal heart rate baseline and variability (between EUM, scalp electrode and fetal doppler) Accuracy [ Time Frame: 12 months ] The difference in periodic changes (between EUM, scalp electrode and fetal Doppler). Adverse events [ Time Frame: 12 months ] Number and percentage of adverse events during the study period

2014 Clinical Trials

118. Maternal Oxygen Administration for Fetal Distress

of oxygen [ Time Frame: within 30-60 seconds of birth ] Immediately after delivery (within 30-60 seconds of birth), radial artery blood gas sample will be obtained. Other Outcome Measures: cesarean delivery rate [ Time Frame: during the second stage of labor ] assisted vaginal delivery [ Time Frame: during the second stage of labor ] maternal dissatisfaction [ Time Frame: during the second stage of labor ] abnormal fetal heart rate tracing [ Time Frame: during the second stage of labor ] neonatal (...) Maternal Oxygen Administration for Fetal Distress Maternal Oxygen Administration for Fetal Distress - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Maternal Oxygen Administration for Fetal Distress

2014 Clinical Trials

119. Fetal thrombotic vasculopathy is associated with thromboembolic events and adverse perinatal outcome but not with neurologic complications: A retrospective cohort study of 54 cases with a 3-year follow-up of children. (PubMed)

delivery procedures (OR 3.727, CI 1.477-9.403), cesarean sections (OR 2.684, CI 1.016-7.088)), poor fetal condition (intrauterine growth restriction (IUGR) (OR 5.440, CI 2.007-14.748), nonreassuring fetal heart tracing (OR 6.062, CI 2.280-16.115), difficulties in immediate ex utero adaptation (OR 3.416, CI 1.087-10.732)) and perinatal or early childhood demise (OR 3.043, CI 1.327-6.978). On pathological examination, FTV was associated with marginal cord insertion (OR 3.492, CI 1.350-9.035), cord (...) Fetal thrombotic vasculopathy is associated with thromboembolic events and adverse perinatal outcome but not with neurologic complications: A retrospective cohort study of 54 cases with a 3-year follow-up of children. to test the hypothesis that placental fetal thrombotic vasculopathy (FTV) is associated with obstetric complications and predisposes the child to unfavorable outcomes.54 placentas with FTV lesions and 100 placentas without FTV lesions were collected over a 5-year period

2014 Placenta

120. Fetal effects of combined spinal-epidural vs epidural labour analgesia: a prospective, randomised double-blind study. (PubMed)

). Fetal heart rate traces, recorded for 30 min before and 60 min after neuraxial block, were categorised as normal, suspicious or pathological according to national guidelines. Sixty-one fetal heart rate tracings were analysed in the combined spinal-epidural group and 52 in the epidural group. No significant differences were found in fetal heart rate patterns, Apgar scores or umbilical artery and vein acid-base status between groups. However, in both combined spinal-epidural and epidural groups (...) Fetal effects of combined spinal-epidural vs epidural labour analgesia: a prospective, randomised double-blind study. We have compared fetal heart rate patterns, Apgar scores and umbilical cord gas values following initiation of labour analgesia using either combined spinal-epidural or epidural. One hundred and fifteen healthy women requesting neuraxial analgesia in the first stage of labour were randomly assigned to receive either combined spinal-epidural (n = 62) or epidural analgesia (n = 53

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2014 Anaesthesia Controlled trial quality: uncertain

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