The heightened significance of prolonged bradycardia associated with intrauterine growth retardation.

Abstract:

:The significance and management of prepartum bradycardia is not well established in prepartum fetal assessment. The incidence of prolonged bradycardia was 3.5% (45 per 1284), defined as a decrease of greater than or equal to 40 beats per minute of the fetal heart rate (FHR) below the baseline for at least 2 minutes. Thirty-two maternal, fetal, and FHR tracing characteristics were examined to study correlations between the variables, the presence of the bradycardia, and neonatal outcome. Neonatal outcome was evaluated by dividing the population into two groups. Group 1 consisted of infants with 1-minute Apgar scores less than 6 and NICU admissions greater than 24 hours. Group 2 comprised infants with 1-minute Apgar scores greater than 6 and no NICU admission or less than 24 hours NICU admission. IUGR was diagnosed in 40% of the patients. Statistically significant associations were found for correlations between Group 1 infants and IUGR (P less than .05), oligohydramnios (P less than .05), cesarean section rate (P less than .04), and the presence of meconium (P less than .01). There were no fetal heart rate characteristics found to be significantly associated with IUGR or neonatal outcome. The data do not support the need for immediate delivery in patients with prolonged prepartum bradycardia, but its presence does warrant a workup for intrauterine growth retardation.

journal_name

Am J Perinatol

authors

Brustman LE,Langer O,Anyaegbunam A

doi

10.1055/s-2007-999972

subject

Has Abstract

pub_date

1985-10-01 00:00:00

pages

288-91

issue

4

eissn

0735-1631

issn

1098-8785

journal_volume

2

pub_type

杂志文章
  • Risks of Preterm Premature Rupture of Membranes and Preterm Birth Post Fetoscopy Based on Location of Trocar Insertion Site.

    abstract:OBJECTIVE:The objective of this study was to assess whether the location of the trocar insertion site for laser treatment of twin-twin transfusion syndrome was associated with preterm-premature rupture of membranes (PPROM) and preterm birth (PTB). STUDY DESIGN:In this study trocar location was documented in the operat...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0037-1620268

    authors: Chmait RH,Chon AH,Korst LM,Llanes A,Kontopoulos EV,Quintero RA

    更新日期:2018-07-01 00:00:00

  • Screening for intrauterine growth restriction in uncomplicated pregnancies: time for action.

    abstract::A randomized clinical trial (RCT) noted that sonographic examination in the third trimester, in conjunction with delivery at term for abnormalities of fetal growth, significantly decreased the likelihood of small-for-gestational-age (SGA) neonates in uncomplicated pregnancies. We identified 15 characteristics of scree...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1321497

    authors: Chauhan SP,Rouse DJ,Ananth CV,Magann EF,Chang E,Dahlke JD,Abuhamad AZ

    更新日期:2013-01-01 00:00:00

  • Severe neutrophilia in an infant with persistent pulmonary hypertension of the newborn.

    abstract::We report the case of a term male infant with severe persistent pulmonary hypertension of the newborn, who developed massive neutrophilia of unknown etiology. An extensive evaluation failed to disclose an obvious cause for his neutrophilia. A bone marrow aspirate was performed and was consistent with a leukemoid react...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-45288

    authors: Engmann C,Donn SM

    更新日期:2003-10-01 00:00:00

  • Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking Methodology to Assess Environmental Factors that Contribute to Safety in Childbirth.

    abstract:OBJECTIVE:There is limited research exploring the relationship between design and patient safety outcomes, especially in maternal and neonatal care. We employed design thinking methodology to understand how the design of labor and delivery units impacts safety and identified spaces and systems where improvements are ne...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0039-1685494

    authors: Sherman JP,Hedli LC,Kristensen-Cabrera AI,Lipman SS,Schwandt D,Lee HC,Sie L,Halamek LP,Austin NS,Safety Learning Laboratory for Neonatal and Maternal Care.

    更新日期:2020-05-01 00:00:00

  • Increased nucleated erythrocytes in an infant with congenital hyperinsulinism.

    abstract::A markedly elevated peripheral nucleated erythrocyte count is reported in a term nonmacrosomic infant with congenital hyperinsulinism born to a nondiabetic mother. With control of hypoglycemia and hyperinsulinism, the count declined to normal. A relationship of hyperinsulinism and erythropoiesis, not related to fetal ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994568

    authors: Carter BS

    更新日期:1994-03-01 00:00:00

  • Perinatal Outcomes of Subjects Enrolled in a Multicenter Trial with a Waiver of Antenatal Consent.

    abstract:OBJECTIVE: This study aimed to determine whether outcomes differed between infants enrolled in the PREMOD2 trial and those otherwise eligible but not enrolled, and whether the use of waiver effected these differences. STUDY DESIGN: The multicenter PREMOD2 (PREmature infants receiving Milking Or Delayed cord clamping) ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1719184

    authors: Katheria AC,Allman P,Szychowski JM,Essers J,Carlo WA,Schmölzer GM,Dempsey E,Yanowitz T,Kaempf J,Vora F,Bhat S,Arnell K,Rich W,Varner M

    更新日期:2020-11-03 00:00:00

  • Acyclovir treatment of primary herpes in pregnancy complicated by second trimester preterm premature rupture of membranes with term delivery: case report.

    abstract::Primary genital herpes simplex virus (HSV) infection in pregnancy is associated with an increased risk of vertical transmission to the fetus, especially with rupture of membranes. Two cases of primary herpes and two cases of recurrent herpes in pregnancy with preterm premature rupture of membranes and expectant manage...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2002-33090

    authors: Dietrich YM,Napolitano PG

    更新日期:2002-07-01 00:00:00

  • An analysis of second-stage labor beyond 3 hours in nulliparous women.

    abstract:OBJECTIVE:To analyze outcomes after second-stage labor beyond 3 hours and determine if prolonged second stages were intentional. STUDY DESIGN:Retrospective cohort analysis of maternal and neonatal outcomes in nulliparous women based on second-stage duration. Medical records were reviewed for management decisions in wo...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1314894

    authors: Bleich AT,Alexander JM,McIntire DD,Leveno KJ

    更新日期:2012-10-01 00:00:00

  • The Acylcarnitine Profile in Dried Blood Spots is Affected by Hematocrit: A Study of Newborn Screening Samples in Very-Low-Birth-Weight Infants.

    abstract:OBJECTIVE: The acylcarnitine profile is analyzed in dried blood spots (DBS) to screen for inborn errors of metabolism. Hematocrit (Ht) is known to affect the result of quantitative analyses of DBS samples; however, the effects of Ht on the acylcarnitine profiles in DBS have not been studied in actual samples from newbo...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1721849

    authors: Haga M,Isobe M,Kawabata K,Shimizu M,Mochizuki H

    更新日期:2020-12-29 00:00:00

  • Fetal myocardial calcification associated with maternal cocaine use.

    abstract::Two cases of fetal myocardial calcification confirmed postnatally are reported. In contrast to other reports, both infants survived with resolution of calcification by 6 and 12 months. Diagnostic investigations failed to confirm the presence of congenital infection. Both pregnancies were complicated by early cocaine u...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2008-1040740

    authors: Yap TE,Diana D,Herson V,Chameides L,Rowe JC

    更新日期:1994-05-01 00:00:00

  • A Multicentered Randomized Study on Early versus Rescue Calsurf Administration for the Treatment of Respiratory Distress Syndrome in Preterm Infants.

    abstract:OBJECTIVE:Surfactant and noninvasive ventilation are two major strategies for the treatment of neonates with respiratory distress syndrome (RDS). However, the optimal time for surfactant administering is yet controversial. This study compared the early and rescue Calsurf administration in preterm infants with RDS. STU...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-0039-1678530

    authors: Rong Z,Chang L,Cheng H,Wang H,Zhu X,Peng F,Fan Q,Lu W,Pan R,Xiong L,Jiao R,Sun J,Xia S,Xie J

    更新日期:2019-12-01 00:00:00

  • Improvement of conventional transcutaneous bilirubinometry results in term newborn infants.

    abstract::This prospective study was performed to determine a way to improve conventional transcutaneous bilirubinometry results in healthy term newborn infants. In 118 infants during phototherapy (group A), and in 118 infants without phototherapy (group B), bilirubin determinations were done in duplicate using the Minolta AirS...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2005-867087

    authors: Felc Z

    更新日期:2005-05-01 00:00:00

  • The reset hypothesis: lactation and maternal metabolism.

    abstract::For maternal metabolism, pregnancy ends not with delivery, but with weaning. In several recent epidemiological studies, authors have reported an association between duration of breast-feeding and reduced maternal risk of metabolic disease. These findings parallel data from animal models showing favorable changes in me...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0028-1103034

    authors: Stuebe AM,Rich-Edwards JW

    更新日期:2009-01-01 00:00:00

  • The freeze-thaw process and long intervals after fortification denature human milk fat globules.

    abstract::Although mother's milk is the optimal nutrition for preterm infants, the amount of protein, calcium, and phosphorus become inadequate for the growth of preterm infants, such that fortification is recommended when enteral feeding is established. Recently, intestinal obstruction due to calcium soap formation has been re...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0031-1295659

    authors: Takahashi K,Mizuno K,Itabashi K

    更新日期:2012-04-01 00:00:00

  • Flow Cytometry: An Important Diagnostic Tool in Critically Ill Preterm Neonates with Suspected Sepsis.

    abstract:OBJECTIVE: Sepsis is a major cause of neonatal mortality. The gold standard for diagnosis is blood culture which suffers from low sensitivity and huge turn-around time. Flow cytometry has been extensively applied to malignant disorders and is an upcoming tool for diagnosis of nonmalignant disorders due to its rapidity ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1718370

    authors: Goswami S,Gupta R,Ramji S

    更新日期:2020-09-29 00:00:00

  • Prognosis of hypertension first documented during labor.

    abstract::In order to assess the prognosis of hypertension first documented during labor, an inception cohort of all women with hypertension complicating pregnancy was assembled. In this cohort, even extreme elevations of blood pressure, regardless of the degree of proteinuria, were not associated with either maternal or fetal ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999799

    authors: Ales KL,Charlson ME

    更新日期:1987-10-01 00:00:00

  • Fetal echocardiographic screening of pregnancies of mothers with anti-Ro and/or anti-La antibodies.

    abstract::The objectives of this study are to assess the incidence of congenital complete heart block (CCHB) in pregnant women who are anti-Ro and/or La positive. Between January, 1988 and July 1997, 118 pregnancies in 105 women were assessed by fetal echo at 18, 24, and 32 weeks' gestation. Of these 105, 96 had no history of a...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2002-23555

    authors: Gladman G,Silverman ED,Yuk-Law,Luy L,Boutin C,Laskin C,Smallhorn JF

    更新日期:2002-02-01 00:00:00

  • Proficiency of Laryngeal Mask Airway Insertion Skill in NRP Certified Providers.

    abstract:OBJECTIVE: In 2015, Neonatal Resuscitation Program (NRP) recommended laryngeal mask airway (LMA) as an alternative to the endotracheal tube (ETT) in situations where the provider is "unable to intubate and unable to ventilate." LMA insertion is being taught in the NRP routinely. However, endotracheal intubation is the ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1721379

    authors: Mani S,Rawat M

    更新日期:2020-11-29 00:00:00

  • What is the risk of preterm delivery after arrested preterm labor?

    abstract:OBJECTIVE:The aim of this study is to assess if women with arrested preterm labor (PTL) have an increased risk of preterm delivery (PTD) compared with healthy pregnant women, and if digital examination, fetal fibronectin (fFn) and cervical length (CL) are prognostic markers for PTD after arrested PTL. STUDY DESIGN:Pro...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0034-1374818

    authors: Wilms FF,Vis JY,de Wit-Zuurendonk L,Porath MM,Mol BW

    更新日期:2015-01-01 00:00:00

  • Pharmaceutical Expenditure Is Unchanged with Ultrasound-Guided Surfactant Administration.

    abstract:OBJECTIVE: Semiquantitative lung ultrasound improves the timeliness of surfactant replacement, but its financial consequences are unknown. We aim to investigate if the ultrasound-guided surfactant administration influences the general costs of surfactant therapy for preterm neonates affected by respiratory distress syn...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1715821

    authors: De Luca D,Yousef N

    更新日期:2020-08-20 00:00:00

  • Rare manifestations of sirenomelia syndrome: a report of five cases.

    abstract::Five cases of sirenomelia presented with rare manifestations are discussed. Three neonates were born alive and died within 2 to 12 hours after birth. One case was the offspring of a triple in vitro fertilization pregnancy with history of early intrauterine death of one of the triplets. The main features included fusio...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2004-835314

    authors: Drossou-Agakidou V,Xatzisevastou-Loukidou C,Soubasi V,Kostopoulou E,Laporda A,Pantzaki A,Agelidou S,Kremenopoulos G

    更新日期:2004-10-01 00:00:00

  • Perinatal and neonatal aspects of maternal idiopathic thrombocytopenic purpura.

    abstract::The pregnant woman with idiopathic thrombocytopenic purpura (ITP) and her fetus-neonate present a number of challenging issues for both the perinatologist and neonatologist. A review of these issues within a single format is helpful because of the widely scattered nature of the pertinent information in the medical lit...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-1000014

    authors: Beck R

    更新日期:1984-04-01 00:00:00

  • Noninvasive determination of neonatal hyperbilirubinemia: standardization for variation in skin color.

    abstract::The estimation of plasma bilirubin concentration in neonates, using a transcutaneous, noninvasive jaundice meter, is significantly affected by many factors, such as gestational age, birthweight, phototherapy, and skin pigmentation. In an attempt to minimize the influence of skin color and hence circumvent the need for...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2008-1040751

    authors: Linder N,Regev A,Gazit G,Carplus M,Mandelberg A,Tamir I,Reichman B

    更新日期:1994-05-01 00:00:00

  • Periventricular leukomalacia and prenatal methamphetamine exposure: a case report.

    abstract::Periventricular leukomalacia (PVL) is a complication of prematurity that carries a high risk of long-term neurologic morbidity. We report the first case, to our knowledge, of unexpected PVL associated with in utero methamphetamine exposure in a 30-week gestation premature infant with a benign hospital course, who subs...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-970079

    authors: Murphy CR,Bell EF,Sato Y,Klein JM

    更新日期:2007-02-01 00:00:00

  • Nonimmune hydrops fetalis secondary to premature closure of the foramen ovale.

    abstract::Premature closure of the foramen ovale is a rare cardiac anomaly. Severe right-sided heart failure accounts for the hepatomegaly, ascites, pleural and pericardial effusions, and generalized edema of these hydropic fetuses. Premature closure of the foramen ovale should be a part of the differential diagnosis when unexp...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994616

    authors: Coulson CC,Kuller JA

    更新日期:1994-11-01 00:00:00

  • Intrapartum predictors of uterine rupture.

    abstract::This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine r...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-981433

    authors: Craver Pryor E,Mertz HL,Beaver BW,Koontz G,Martinez-Borges A,Smith JG,Merrill D

    更新日期:2007-05-01 00:00:00

  • Use of quantitative amniotic fluid phosphatidylglycerol as a criterion for fetal lung maturation.

    abstract::Phosphatidylglycerol (PG) in amniotic fluid was quantitatively measured by thin-layer chromatography (TLC) in 941 amniotic fluid samples and related to the presence or absence of respiratory distress syndrome (RDS) in neonates born within 7 days of the amniocentesis. In 639 case tests with PG 1 nmol/ml or more of amni...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994666

    authors: Tsao FH,Zachman RD

    更新日期:1992-01-01 00:00:00

  • Effectiveness of influenza vaccine during pregnancy in preventing hospitalizations and outpatient visits for respiratory illness in pregnant women and their infants.

    abstract::The Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention recommends influenza vaccination for women who will be in the second or third trimester of pregnancy during the influenza season. We analyzed hospital admissions with principal diagnoses of influenza or pneumonia and inf...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2004-831888

    authors: Black SB,Shinefield HR,France EK,Fireman BH,Platt ST,Shay D,Vaccine Safety Datalink Workgroup.

    更新日期:2004-08-01 00:00:00

  • First trimester chorionic villus sampling in twin gestations.

    abstract::First-trimester prenatal diagnosis was offered to 104 twin pregnancies mainly for advanced maternal age and cytogenetic evaluation of a new fertilization technique. Chorionic villus sampling (CVS) was performed transcervically (35%), transabdominally (23%), or by combination of these two techniques (42%). Although no ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994380

    authors: De Catte L,Liebaers I,Foulon W,Bonduelle M,Van Assche E

    更新日期:1996-10-01 00:00:00

  • Community-Acquired Pneumonia in Children: Myths and Facts.

    abstract::Community-acquired pneumonia (CAP) is the leading cause of death in children < 5 years of age worldwide. It is also one of the most frequent infectious diseases in children, leading to large antibiotic use and hospitalization even in the industrialized countries. However, the optimal management of CAP in children is s...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1691801

    authors: Yun KW,Wallihan R,Juergensen A,Mejias A,Ramilo O

    更新日期:2019-07-01 00:00:00