Short-term (0-48 h) effects of maternal betamethasone administration on fetal heart rate and its variability.

Abstract:

:The short-term (0-48 h) effects of maternal betamethasone administration on computerized fetal heart rate (FHR) parameters were studied in 36 pregnancies at increased risk for preterm delivery. FHR was recorded for 90 min immediately before the start of betamethasone treatment and again at 6-h intervals during the next 48 h. Multiple linear regression models were used to assess the possible effects on FHR parameters of gestational age, time of day, clinical indication for treatment, and use of tocolytic drugs. Within 12 h after the start of treatment, significant increases occurred in FHR accelerations, and short- and long-term FHR variability (36%, 28%, and 22%, respectively), whereas basal FHR showed a 5% decrease. FHR variability was decreased by 10% at 42-48 h. The observed changes were more pronounced in older (29-33 wk of gestation) compared with younger fetuses (25-28 wk of gestation). Decelerations occurred only in 4 out of 11 compromised fetuses during betamethasone therapy. We conclude that there are significant changes in FHR parameters during the first 48 h after betamethasone administration. These changes are transient in normal fetuses. However, the compromised fetus may be adversely affected by betamethasone.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Lunshof MS,Boer K,Wolf H,Koppen S,Velderman JK,Mulder EJ

doi

10.1203/01.PDR.0000155948.83570.EB

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

545-9

issue

4

eissn

0031-3998

issn

1530-0447

pii

01.PDR.0000155948.83570.EB

journal_volume

57

pub_type

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