Indefinite Fetal Heart Rate Pattern in a Patient with Vasa Previa: A Situation Where Guideline Is Inapplicable.
Most fetal heart rate patterns can be interpreted accurately so that management decisions can be made correctly. How-ever, few fetal heart rate patterns are so ambiguous that the obstetricians cannot interpret them precisely. A 27-year-old woman at 38 weeks' gestation in her first pregnancy was...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2014-01-01
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| Series: | Iranian Journal of Public Health |
| Subjects: | |
| Online Access: | https://ijph.tums.ac.ir/index.php/ijph/article/view/4250 |
| _version_ | 1818932596205158400 |
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| author | Yan-Zhen Zhang Wen-Chao Sun Zhi-Hua Wang Zhi-Fen Zhang |
| author_facet | Yan-Zhen Zhang Wen-Chao Sun Zhi-Hua Wang Zhi-Fen Zhang |
| author_sort | Yan-Zhen Zhang |
| collection | DOAJ |
| description | Most fetal heart rate patterns can be interpreted accurately so that management decisions can be made correctly. How-ever, few fetal heart rate patterns are so ambiguous that the obstetricians cannot interpret them precisely. A 27-year-old woman at 38 weeks' gestation in her first pregnancy was admitted with heavy vaginal bleeding and decrease in fetal movements. Fetal status was indeterminate according to an indefinite fetal heart rate tracing with regular decelerations. After emergent cesarean delivery, a ruptured vasa previa, traversing the fetal membrane, unsupported by either the umbilical cord or placental tissue, was clearly identified. Treatment decision-making is challenging in such patient with indefinite fetal heart rate pattern because limited data exist to guide management. Well-designed studies are needed to clarify the uncertainty about the effect of indefinite fetal heart rate pattern on clinical outcomes. |
| first_indexed | 2024-12-20T04:35:00Z |
| format | Article |
| id | doaj.art-dd36d9c9cdd1467cb1cb05cab33ac645 |
| institution | Directory Open Access Journal |
| issn | 2251-6085 2251-6093 |
| language | English |
| last_indexed | 2024-12-20T04:35:00Z |
| publishDate | 2014-01-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Public Health |
| spelling | doaj.art-dd36d9c9cdd1467cb1cb05cab33ac6452022-12-21T19:53:17ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932014-01-014314105Indefinite Fetal Heart Rate Pattern in a Patient with Vasa Previa: A Situation Where Guideline Is Inapplicable.Yan-Zhen Zhang0Wen-Chao Sun1Zhi-Hua Wang2Zhi-Fen Zhang3Dept. of Obstetrics and Gynecology, the First People's Hospital of Hangzhou, Nanjing Medical University , Hangzhou, Zhejiang, China.Dept. of Obstetrics and Gynecology, the First People's Hospital of Hangzhou, Nanjing Medical University , Hangzhou, Zhejiang, China.Dept. of Obstetrics and Gynecology, the First People's Hospital of Hangzhou, Nanjing Medical University , Hangzhou, Zhejiang, China.Dept. of Obstetrics and Gynecology, the First People's Hospital of Hangzhou, Nanjing Medical University , Hangzhou, Zhejiang, China.Most fetal heart rate patterns can be interpreted accurately so that management decisions can be made correctly. How-ever, few fetal heart rate patterns are so ambiguous that the obstetricians cannot interpret them precisely. A 27-year-old woman at 38 weeks' gestation in her first pregnancy was admitted with heavy vaginal bleeding and decrease in fetal movements. Fetal status was indeterminate according to an indefinite fetal heart rate tracing with regular decelerations. After emergent cesarean delivery, a ruptured vasa previa, traversing the fetal membrane, unsupported by either the umbilical cord or placental tissue, was clearly identified. Treatment decision-making is challenging in such patient with indefinite fetal heart rate pattern because limited data exist to guide management. Well-designed studies are needed to clarify the uncertainty about the effect of indefinite fetal heart rate pattern on clinical outcomes.https://ijph.tums.ac.ir/index.php/ijph/article/view/4250CardiotocographyCesarean sectionFetal heart ratePregnancyVasa previa |
| spellingShingle | Yan-Zhen Zhang Wen-Chao Sun Zhi-Hua Wang Zhi-Fen Zhang Indefinite Fetal Heart Rate Pattern in a Patient with Vasa Previa: A Situation Where Guideline Is Inapplicable. Iranian Journal of Public Health Cardiotocography Cesarean section Fetal heart rate Pregnancy Vasa previa |
| title | Indefinite Fetal Heart Rate Pattern in a Patient with Vasa Previa: A Situation Where Guideline Is Inapplicable. |
| title_full | Indefinite Fetal Heart Rate Pattern in a Patient with Vasa Previa: A Situation Where Guideline Is Inapplicable. |
| title_fullStr | Indefinite Fetal Heart Rate Pattern in a Patient with Vasa Previa: A Situation Where Guideline Is Inapplicable. |
| title_full_unstemmed | Indefinite Fetal Heart Rate Pattern in a Patient with Vasa Previa: A Situation Where Guideline Is Inapplicable. |
| title_short | Indefinite Fetal Heart Rate Pattern in a Patient with Vasa Previa: A Situation Where Guideline Is Inapplicable. |
| title_sort | indefinite fetal heart rate pattern in a patient with vasa previa a situation where guideline is inapplicable |
| topic | Cardiotocography Cesarean section Fetal heart rate Pregnancy Vasa previa |
| url | https://ijph.tums.ac.ir/index.php/ijph/article/view/4250 |
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