Journal article
Category II non-reassuring fetal heart rate pattern and risk of admission to Neonatal Intensive Care Unit
Journal of pediatric and neonatal individualized medicine, Vol.10(2), pp.1-11
05/01/2021
DOI: 10.7363/100210
Abstract
Background: The relationship between non-reassuring fetal heart rate (FHR) pattern, acidemia at birth and neonatal morbidity remains unclear. Our aim was to compare low versus high pH cord blood infants of women detected with a Category II FHR pattern for which the impact is unclear.
Methods: A prospective study of 185 low-risk pregnant women in labor at 7.15 and admitted; [ii] pH 7.15 and admitted; [iii] not admitted).
Results: 23% (43/185) of infants of women detected with Category II FHR pattern needed NICU admission. Category II FHR pattern was associated with low pH at birth, and the need for resuscitation was more frequent among infants in the lower pH group (73% vs. 10%, p < 0.05). Indices of right (tricuspid annular plane systolic excursion [TAPSE]: 7.3 +/- 0.9 mm) and left ventricular performance (fractional shortening: 31% +/- 8.9%, transmitral E'/A' 0.9 +/- 0.3) were low compared to normative data for healthy infants. CK, CK-MB, and left-to-right/bidirectional shunts at PFO and PDA were higher overall at 72 hours of age.
Conclusions: Category II FHR is associated with resuscitation at birth, NICU admission, and length of hospitalization.
Details
- Title: Subtitle
- Category II non-reassuring fetal heart rate pattern and risk of admission to Neonatal Intensive Care Unit
- Creators
- Laura Mihaela Suciu - Universitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu MureșAmelia Fagarasan - Universitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu MureșClaudiu Marginean - Universitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu MureșAdrianne Rahde Bischoff - Univ Iowa, Dept Pediat, Stead Family Childrens Hosp, Div Neonatol, Iowa City, IA 52242 USAPatrick J. McNamara - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric and neonatal individualized medicine, Vol.10(2), pp.1-11
- Publisher
- Hygeia Press Corridori Marinella
- DOI
- 10.7363/100210
- ISSN
- 2281-0692
- eISSN
- 2281-0692
- Number of pages
- 11
- Language
- English
- Date published
- 05/01/2021
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology; Internal Medicine
- Record Identifier
- 9984354151702771
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