J 2020

The effect of transient fetal bradycardia and other heart rate changes during and after external cephalic version on perinatal outcomes

HRUBAN, Lukáš, Petr JANKŮ, Kristýna JORDÁNOVÁ, Michal HUPTYCH, Anna JOUZOVÁ et. al.

Základní údaje

Originální název

The effect of transient fetal bradycardia and other heart rate changes during and after external cephalic version on perinatal outcomes

Autoři

HRUBAN, Lukáš (203 Česká republika, domácí), Petr JANKŮ (203 Česká republika, garant, domácí), Kristýna JORDÁNOVÁ (203 Česká republika, domácí), Michal HUPTYCH (203 Česká republika), Anna JOUZOVÁ (203 Česká republika, domácí), Romana GERYCHOVÁ (203 Česká republika, domácí) a Pavel VENTRUBA (203 Česká republika, domácí)

Vydání

EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, AMSTERDAM, ELSEVIER SCIENCE BV, 2020, 0301-2115

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30214 Obstetrics and gynaecology

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.435

Kód RIV

RIV/00216224:14110/20:00115433

Organizační jednotka

Lékařská fakulta

DOI

UT WoS

000515443300007

Klíčová slova anglicky

Breech presentation; External cephalic version; Fetal distress; Fetal bradycardia

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 20. 3. 2020 10:35, Mgr. Tereza Miškechová

Anotace

V originále

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.