Lear, CA; Ugwumadu, A; Bennet, L; Gunn, AJ
(2023)
An Update of Our Understanding of Fetal Heart Rate Patterns in Health and Disease.
Semin Pediatr Neurol, 47.
p. 101072.
ISSN 1558-0776
https://doi.org/10.1016/j.spen.2023.101072
SGUL Authors: Ugwumadu, Austin Hayes Nnamdi
Abstract
UNDERSTANDING FETAL HEART RATE PATTERNS THAT MAY PREDICT ANTENATAL AND INTRAPARTUM NEURAL INJURY: Christopher A. Lear, Jenny A. Westgate, Austin Ugwumadu, Jan G. Nijhuis, Peter R. Stone, Antoniya Georgieva, Tomoaki Ikeda, Guido Wassink , Laura Bennet , Alistair J. Gunn Seminars in Pediatric Neurology Volume 28, December 2018, Pages 3-16 Electronic fetal heart rate (FHR) monitoring is widely used to assess fetal well-being throughout pregnancy and labor. Both antenatal and intrapartum FHR monitoring are associated with a high negative predictive value and a very poor positive predictive value. This in part reflects the physiological resilience of the healthy fetus and the remarkable effectiveness of fetal adaptations to even severe challenges. In this way, the majority of "abnormal" FHR patterns in fact reflect a fetus' appropriate adaptive responses to adverse in utero conditions. Understanding the physiology of these adaptations, how they are reflected in the FHR trace and in what conditions they can fail is therefore critical to appreciating both the potential uses and limitations of electronic FHR monitoring.
Item Type: |
Article
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Additional Information: |
© 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/) |
Keywords: |
Child, Pregnancy, Female, Humans, Heart Rate, Fetal, Labor, Obstetric, Fetus, Heart Rate, Fetus, Humans, Pregnancy, Labor, Obstetric, Heart Rate, Heart Rate, Fetal, Child, Female, Neurology & Neurosurgery |
SGUL Research Institute / Research Centre: |
Academic Structure > Institute of Medical & Biomedical Education (IMBE) Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Clinical Education (INMECE ) |
Journal or Publication Title: |
Semin Pediatr Neurol |
ISSN: |
1558-0776 |
Language: |
eng |
Dates: |
Date | Event |
---|
31 October 2023 | Published | 6 August 2023 | Published Online | 3 August 2023 | Accepted |
|
Publisher License: |
Creative Commons: Attribution 4.0 |
Projects: |
|
PubMed ID: |
37919038 |
Web of Science ID: |
WOS:001109625800001 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/116000 |
Publisher's version: |
https://doi.org/10.1016/j.spen.2023.101072 |
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