HRUBAN, Lukáš, Petr JANKŮ, Kristýna JORDÁNOVÁ, Michal HUPTYCH, Anna JOUZOVÁ, Romana GERYCHOVÁ a Pavel VENTRUBA. The effect of transient fetal bradycardia and other heart rate changes during and after external cephalic version on perinatal outcomes. EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY. AMSTERDAM: ELSEVIER SCIENCE BV, 2020, roč. 245, FEB 2020, s. 39-44. ISSN 0301-2115. Dostupné z: https://dx.doi.org/10.1016/j.ejogrb.2019.11.025. |
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@article{1637656, author = {Hruban, Lukáš and Janků, Petr and Jordánová, Kristýna and Huptych, Michal and Jouzová, Anna and Gerychová, Romana and Ventruba, Pavel}, article_location = {AMSTERDAM}, article_number = {FEB 2020}, doi = {http://dx.doi.org/10.1016/j.ejogrb.2019.11.025}, keywords = {Breech presentation; External cephalic version; Fetal distress; Fetal bradycardia}, language = {eng}, issn = {0301-2115}, journal = {EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY}, title = {The effect of transient fetal bradycardia and other heart rate changes during and after external cephalic version on perinatal outcomes}, url = {http://dx.doi.org/10.1016/j.ejogrb.2019.11.025}, volume = {245}, year = {2020} }
TY - JOUR ID - 1637656 AU - Hruban, Lukáš - Janků, Petr - Jordánová, Kristýna - Huptych, Michal - Jouzová, Anna - Gerychová, Romana - Ventruba, Pavel PY - 2020 TI - The effect of transient fetal bradycardia and other heart rate changes during and after external cephalic version on perinatal outcomes JF - EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY VL - 245 IS - FEB 2020 SP - 39-44 EP - 39-44 PB - ELSEVIER SCIENCE BV SN - 03012115 KW - Breech presentation KW - External cephalic version KW - Fetal distress KW - Fetal bradycardia UR - http://dx.doi.org/10.1016/j.ejogrb.2019.11.025 L2 - http://dx.doi.org/10.1016/j.ejogrb.2019.11.025 N2 - Objectives: To evaluate the effect of transient fetal bradycardia and other heart rate changes during and after external cephalic version (ECV) on perinatal outcomes. To determine factors associated with a higher risk of occurrence of transient fetal bradycardia during and after ECV. Study design: Prospective study in 286 women after the 36th week of gestation with a fetus in breech presentation who have undergone an ECV attempt. The study analyses the incidence of transient fetal bradycardia during and immediately after ECV, the time interval to complete adjustment of fetal bradycardia, the factors associated with the occurrence of transient fetal bradycardia, cardiotocography (CTG) changes after ECV and perinatal outcomes. All the data were statistically analyzed. Results: The ECV was successful in 51 % (146/286). Transient fetal bradycardia occurred during and after ECV in 81 cases (28.3 %). A successful version was a factor significantly associated with fetal bradycardia (54; 37.0 %versus 27; 19.3 %; p < 0.01). Clinically significant hypotension of the mother was accompanied by transient fetal bradycardia in 12 cases (4.2 %). After the successful ECV there was no significant difference in the percentage of vaginal deliveries between subgroups with and without transient fetal bradycardia (85.2 % versus 83.7 %; p = 1.00). Nor in occurrence of acute fetal distress during labor (18.5 % versus 15.6 %; p = 0.65). In cases of a successful ECV transient CTG changes after ECV had no effect on the incidence of acute fetal distress during labor (23.5 % versus 15.7 %; p = 0.49). Conclusions: Transient fetal bradycardia and other heart rate changes during and immediately after ECV was not associated with a higher incidence of acute fetal distress during labor and did not affect perinatal outcomes. Higher occurrence of transient bradycardia after ECV was associated only with successful ECV. Transient hypotension of the mother as one of the causes of transient fetal bradycardia during ECV should be considered. (C) 2019 Elsevier B.V. All rights reserved. ER -
HRUBAN, Lukáš, Petr JANKŮ, Kristýna JORDÁNOVÁ, Michal HUPTYCH, Anna JOUZOVÁ, Romana GERYCHOVÁ a Pavel VENTRUBA. The effect of transient fetal bradycardia and other heart rate changes during and after external cephalic version on perinatal outcomes. \textit{EUROPEAN JOURNAL OF OBSTETRICS \&{} GYNECOLOGY AND REPRODUCTIVE BIOLOGY}. AMSTERDAM: ELSEVIER SCIENCE BV, 2020, roč.~245, FEB 2020, s.~39-44. ISSN~0301-2115. Dostupné z: https://dx.doi.org/10.1016/j.ejogrb.2019.11.025.
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