Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports

Fetal growth restriction (FGR) is characterized by fetal compromise and delayed neurological maturation. We report 3 cases of early FGR in the 26th week of gestation, based on hemodynamic Doppler monitoring, conventional cardiotocography, and non-invasive fetal electrocardiography (NI-FECG). Fetal h...

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Main Authors: Igor Victorovich Lakhno (Author), Schmidt Alexander (Author)
Format: Book
Published: Korean Society of Obstetrics and Gynecology, 2019-11-01T00:00:00Z.
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100 1 0 |a Igor Victorovich Lakhno  |e author 
700 1 0 |a Schmidt Alexander  |e author 
245 0 0 |a Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports 
260 |b Korean Society of Obstetrics and Gynecology,   |c 2019-11-01T00:00:00Z. 
500 |a 2287-8572 
500 |a 2287-8580 
500 |a 10.5468/ogs.2019.62.6.469 
520 |a Fetal growth restriction (FGR) is characterized by fetal compromise and delayed neurological maturation. We report 3 cases of early FGR in the 26th week of gestation, based on hemodynamic Doppler monitoring, conventional cardiotocography, and non-invasive fetal electrocardiography (NI-FECG). Fetal heart rate variability (HRV), beat-to-beat variations, and fetal autonomic brain age scores (fABASs) were normal despite the absence of umbilical diastolic flow in the first case and the pregnancy continued to 30 weeks. NI-FECG helped achieve better fetal maturity. Fetal HRV and fABASs were low in the second and third cases. Fetal demise occurred soon in both cases. We conclude that NI-FECG could be a prospective method for the detection of fetal distress in early FGR. 
546 |a EN 
546 |a KO 
690 |a fetal distress 
690 |a fetal growth restriction 
690 |a embryonic and fetal development 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Obstetrics & Gynecology Science, Vol 62, Iss 6, Pp 469-473 (2019) 
787 0 |n http://ogscience.org/upload/pdf/ogs-62-469.pdf 
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787 0 |n https://doaj.org/toc/2287-8580 
856 4 1 |u https://doaj.org/article/51a8f91d5f3c46e78fa93917e22b3dcc  |z Connect to this object online.