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Fetal Heart Tracing

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121. 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. (Abstract)

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

122. The Fetal EKG Study

, and nurses working on Labor and Delivery Criteria Inclusion Criteria: Women who are pregnant or in labor who are having their fetus' heart rate monitored continuously and able to consent 18 years old or older. Gestational age of 24-42 weeks. Any method of fetal heart rate monitoring. Pregnant women in labor as well as women who are not in labor. Pregnant women who are admitted to labor and delivery for scheduled c-sections. Exclusion Criteria: Women unable to consent Women under sedation or systemic (...) . 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

2014 Clinical Trials

123. 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

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

). 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

2014 Anaesthesia Controlled trial quality: uncertain

125. Primitive Embryonic Macrophages are Required for Coronary Development and Maturation. Full Text available with Trip Pro

these issues, we investigated the functions of macrophage subsets resident within the developing heart, an organ replete with embryonic-derived macrophages.Using a combination of flow cytometry, immunostaining, and genetic lineage tracing, we demonstrate that the developing heart contains a complex array of embryonic macrophage subsets that can be divided into chemokine (C-C motif) receptor 2(-) and chemokine (C-C motif) receptor 2(+) macrophages derived from primitive yolk sac, recombination activating (...) gene 1(+) lymphomyeloid, and Fms-like tyrosine kinase 3(+) fetal monocyte lineages. Functionally, yolk sac-derived chemokine (C-C motif) receptor 2(-) macrophages are instrumental in coronary development where they are required for remodeling of the primitive coronary plexus. Mechanistically, chemokine (C-C motif) receptor 2(-) macrophages are recruited to coronary blood vessels at the onset of coronary perfusion where they mediate coronary plexus remodeling through selective expansion of perfused

2016 Circulation Research

126. Fetal Copeptin After Oxytocin Challenge Test

the last 24 hours No contractions recorded by 30 min cardiotocogram prior to oxytocin challenge test Exclusion criteria: All contraindications for labor, including placenta praevia Serious fetal malformations Anhydramnios Oligohydramnios IUGR < 5. percentile Presence of any contractions Suspicious or pathological fetal heart rate tracing (cardiotocogram) Any clinical or biochemical signs of maternal infection Breech presentation More than 1 C-section in history Contacts and Locations Go to Information (...) Fetal Copeptin After Oxytocin Challenge Test Fetal Copeptin After Oxytocin Challenge Test - 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. Fetal Copeptin After Oxytocin Challenge Test (CopOCT) The safety

2013 Clinical Trials

127. Comparison of Epidural Labor Pain Relief Techniques on Maternal and Fetal Outcomes

: Participants will be followed for the duration of labor analgesia from initiation to delivery, an expected average of 12 hours ] Occurrence of fetal bradycardia or other heart rate changes, changes in fetal heart tracing patterns Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor (...) Comparison of Epidural Labor Pain Relief Techniques on Maternal and Fetal Outcomes Comparison of Epidural Labor Pain Relief Techniques on Maternal and Fetal Outcomes - 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

2013 Clinical Trials

128. Reversed end-diastolic flow in the middle cerebral artery preceding death in a normally grown fetus. (Abstract)

Reversed end-diastolic flow in the middle cerebral artery preceding death in a normally grown fetus. Reversed diastolic flow in the middle cerebral artery has been described as a terminal sign in the growth-restricted fetus. The implication of this in a normally grown fetus is unknown.Middle cerebral artery Doppler velocimetry was performed at 28 weeks of gestation in the setting of decreased fetal movement and a category 2 fetal heart tracing. The middle cerebral artery pulsatility index (...) was elevated, and follow-up studies revealed reversed flow. The fetus had appropriate growth, with mild polyhydramnios and no signs of cardiomegaly, effusion, or hydrops. Fetal death was diagnosed 4 days later in the setting of extensive intracranial hemorrhage.Regardless of fetal growth, persistent reversed middle cerebral artery Doppler with an elevated pulsatility index may be a feature of impending death.

2013 Obstetrics and Gynecology

129. Association of non-reassuring fetal heart rate and fetal acidosis with placental histopathology. (Abstract)

Association of non-reassuring fetal heart rate and fetal acidosis with placental histopathology. To investigate the association between different placental lesions and non-reassuring fetal heart rate (NRFHR) pattern and fetal acidosis in labor.Placentas from 213 women who underwent cesarean section because of NRFHR with or without fetal acidosis (pH < 7.2) were classified by histopathologic findings: consistent with maternal circulation abnormalities i.e., namely, marginal or retroplacental (...) hemorrhage (M0), maternal underperfusion, vascular (M1) or villous changes (M2), and those consistent with fetal thrombo-occlusive disease due to vascular (F1) or villous (F2) changes. Lesions were also analyzed by maternal (MIR) or fetal (FIR) origin of inflammatory responses.Cord blood pH was normal in 169 neonates (7.29 ± 0.04; control group) and <7.2 in 44 (7.10 ± 0.07; study group). The study group had higher rates of histologic chorioamnionitis; MIR was detected in 34.1% compared to17.8

2011 Placenta

130. Effectiveness of pulse oximetry versus fetal electrocardiography for the intrapartum evaluation of nonreassuring fetal heart rate. (Abstract)

Effectiveness of pulse oximetry versus fetal electrocardiography for the intrapartum evaluation of nonreassuring fetal heart rate. To compare the effectiveness of pulse oximetry and fetal electrocardiography in the management of labor with nonreassuring fetal heart rate (NRFHR).This randomized experimental study consisted of two arms. In group 1 we used pulse oximetry and in group 2 we used STAN® technology. The participants in each group were 90 pregnant women with a full-term singleton fetus (...) in cephalic presentation and cardiotocographic tracings compatible with NRFHR. We compared the following variables: rate of cesarean delivery, indications for operative delivery due to NRFHR, and repercussions on the newborn's acid-base status.The two groups differed significantly in the mode of delivery, with a cesarean delivery rate of 47.6% in group 1 vs. 30% in group 2 (p=0.032). The groups did not differ in the indications for ending labor due to NRFHR (62% vs. 61%, NS). In terms of neonatal outcomes

2011 European journal of obstetrics, gynecology, and reproductive biology Controlled trial quality: uncertain

131. Nonreassuring Fetal Status

-reassuring Fetal Heart Tracing Maternal position change Oxygen 8-10 liters per minute by Suppress labor Discontinue Consider holding pushing Consider SQ 0.25 mg Consider Consider expedited delivery Consider Obstetrics Neonatology or Pediatrics VII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Nonreassuring Fetal Status." Click on the image (or right click) to open the source website in a new browser window. Related (...) . Definition (MSH) Deficient oxygenation of FETAL BLOOD. Concepts Disease or Syndrome ( T047 ) MSH SnomedCT 276638004 English In Utero Hypoxia , Fetal Hypoxia , fetal hypoxia (diagnosis) , fetal hypoxia , Fetal Hypoxia [Disease/Finding] , fetus hypoxia , HYPOXIA IN UTERO , Fetal hypoxia , Fetal hypoxia (disorder) , Hypoxia, Fetal Portuguese Hipóxia Fetal Swedish Syrebrist hos foster Czech fétus - hypoxie , fetální hypoxie Finnish Sikiön hypoksia Russian PLODA GIPOKSIIA , GIPOKSIIA PLODA , KISLORODNAIA

2015 FP Notebook

132. Exercise During Pregnancy: Fetal Responses to Current Public Health Guidelines. Full Text available with Trip Pro

for two subsequent 30-minute treadmill sessions: 1) moderate intensity (40-59% heart rate reserve); and 2) vigorous intensity (60-84%). All women performed the moderate test; only active women performed the vigorous test. Fetal well-being measures included umbilical artery Dopplers, fetal heart tracing and rate, and biophysical profile. Measures were obtained at rest and immediately postexercise.Groups were similar in age, body mass index, and gestational age. Maternal resting heart rate in the highly (...) in regularly and highly active women with statistically significant decreases postexercise (P<.05). The group × time interaction was not significant. Postexercise fetal heart tracings met criteria for reactivity within 20 minutes after all tests. Biophysical profile scores were reassuring.This study supports existing guidelines indicating pregnant women may begin or maintain an exercise program at moderate (inactive) or vigorous (active) intensities.

2012 Obstetrics and Gynecology

133. STRESS ZONES IN FOETAL ARTERIES Full Text available with Trip Pro

STRESS ZONES IN FOETAL ARTERIES In a study of the peripheral arteries of foetuses it was found that focal areas of intimal thickening and of splitting of the internal elastica had developed, the thickening being similar to that found in the coronary arteries. Characteristically the thickenings were found in the mouths of branches and in those vessels subject to pulsation. It is believed that they are physiological in nature and a response of the vascular wall to the stresses produced by focal (...) areas of impaired pulsation and not degenerative as formerly thought. The evolution of these arterial cushions is traced from early foetal life; their most important constituent is bundles of medial longitudinal muscle. Both thickening and splitting of the internal elastica are brought about by a radial reorientation and migration of the muscle cells of the media.

1960 Journal of Clinical Pathology

134. Evaluation of the esCCO Non-invasive Cardiac Output Measurement Device in Pregnancy

Posted : October 2, 2014 Last Update Posted : October 3, 2014 Sponsor: King's College Hospital NHS Trust Information provided by (Responsible Party): King's College Hospital NHS Trust Study Details Study Description Go to Brief Summary: Cardiac output (CO) is the volume of blood ejected from the heart and is a product of stroke volume (SV) vs heart rate (HR). It is closely related to Blood Pressure (BP) by the formula CO = Mean Arterial Pressure (MAP) / Systemic Vascular Resistance (SVR). Cardiac (...) of labouring women and have potentially serious risks attached to their usage. Echocardiography is a well-established and validated technique requiring no invasive access but the requirement for an experienced operator limits routine usage. It uses an external ultrasound probe to scan the heart. Several novel non-invasive cardiac output monitors have recently come to the market including the estimated cardiac output esCCO monitor (Nihon Kohden) which uses Pulse Wave Transit Time (PWTT) to estimate cardiac

2014 Clinical Trials

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

-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

2011 Ultrasound in Obstetrics and Gynecology

136. Assessment of the concordance among 2-tier, 3-tier, and 5-tier fetal heart rate classification systems. (Abstract)

Assessment of the concordance among 2-tier, 3-tier, and 5-tier fetal heart rate classification systems. In 2008, a National Institute of Child Health and Human Development/Society for Maternal-Fetal Medicine-sponsored workshop on electronic fetal monitoring recommended a new fetal heart tracing interpretation system. Comparison of this 3-tier system with other systems is lacking. Our purpose was to determine the relationships between fetal heart rate categories for the 3 existing systems.Three (...) Maternal-Fetal Medicine specialists reviewed 120 fetal heart rates. All tracings were from term, singleton pregnancies with known umbilical artery pH. The fetal heart rates were classified by a 2-tier, 3-tier, and 5-tier system.Each Maternal-Fetal Medicine examiner reviewed 120 fetal heart rate segments. When compared with the 2-tier system, 0%, 54%, and 100% tracings in categories 1, 2, and 3 were "nonreassuring." There was strong concordance between category 1 and "green" as well as category 3

2011 American Journal of Obstetrics and Gynecology

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

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

138. Perioperative Ketorolac-lidocaine in the Patients With Valvular Heart Diseases During Cesarean Delivery

, preload, coronary perfusion, and cardiac output. Many women still prefer general anesthesia rather than regional techniques at the author's country. The pharmacological modifications of the sympathetic response to tracheal intubation and surgical stimulation using opioids have adverse effects on the neonatal outcome after cesarean delivery. The authors have demonstrated in their previous studies the safety of both perioperative infusion of both of ketorolac and lidocaine in the attenuation (...) Perioperative Ketorolac-lidocaine in the Patients With Valvular Heart Diseases During Cesarean Delivery Perioperative Ketorolac-lidocaine in the Patients With Valvular Heart Diseases During Cesarean Delivery - 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

2012 Clinical Trials

139. Maternal heart rate patterns in the 1(st) and 2(nd) stages of labor. (Abstract)

: +35±13bpm; 88±14 to 123±17bpm; p<0.001). MHR was persistently >100bpm in three women (17%) in the first stage, and in four women (27%) in the second stage. Peak MHR >140bpm occurred during pushing in 20%. Conclusion. Decreases in MHR during contractions in the first stage of labor can mimic fetal heart rate (FHR) accelerations as well as early type decelerations. Thus, first stage tracings with a low baseline and early type decelerations may be maternal in origin and FHR should be independently (...) Maternal heart rate patterns in the 1(st) and 2(nd) stages of labor. Objective. To analyze typical maternal heart rate (MHR) patterns in the first and second stages of labor. Design. Observational study. Setting. Tertiary care community hospital. Population. Normal term parturients with epidural anesthesia. Methods. Confirmed MHR and uterine activity were simultaneously recorded. The average MHR was analyzed 10 seconds before, as well as at the peak of, each contraction and/or pushing effort

2012 Acta Obstetricia et Gynecologica Scandinavica

140. Use of Continuous Electronic Fetal Monitoring in a Preterm Fetus: Clinical Dilemmas and Recommendations for Practice Full Text available with Trip Pro

heart rate and the resultant features observed on the CTG trace differs in the preterm fetus as compared to a fetus at term making interpretation difficult. This review describes the features of normal fetal heart rate patterns at different gestations and the physiological responses of a preterm fetus compared to a fetus at term. We have proposed an algorithm "ACUTE" to aid management. (...) Use of Continuous Electronic Fetal Monitoring in a Preterm Fetus: Clinical Dilemmas and Recommendations for Practice The aim of intrapartum continuous electronic fetal monitoring using a cardiotocograph (CTG) is to identify a fetus exposed to intrapartum hypoxic insults so that timely and appropriate action could be instituted to improve perinatal outcome. Features observed on a CTG trace reflect the functioning of somatic and autonomic nervous systems and the fetal response to hypoxic

2011 Journal of pregnancy

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