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A Zigzag pattern of fetal heart rate (FHR) is defined as FHR baseline amplitude changes of more than 25 beats per minute (bpm) with a minimum duration of 2 minutes and maximum of 30 minutes. [19] However, according to another study, even a >1 min duration of the zigzag pattern is associated with an increased risk of adverse neonatal outcomes. [21]
A normal nonstress test will show a baseline fetal heart rate between 110 and 160 beats per minute with moderate variability (5- to 25-interbeat variability) and 2 qualifying accelerations in 20 minutes with no decelerations. "Reactive" is defined as the presence of two or more fetal heart rate accelerations within a 20-minute period. Each ...
The presence of these biophysical variables implies absence of significant central nervous system hypoxemia/acidemia at the time of testing. By comparison, a compromised fetus typically exhibits loss of accelerations of the fetal heart rate (FHR), decreased body movement and breathing, hypotonia, and, less acutely, decreased amniotic fluid volume.
A Pinard horn is a type of stethoscope used to listen to the heart rate of a fetus during pregnancy. It is a hollow horn, often made of wood or metal, about 200 millimetres (7.9 in) long. It functions similarly to an ear trumpet by amplifying sound. The user holds the wide end of the horn against the pregnant woman's abdomen, and listens ...
Fetal distress, also known as non-reassuring fetal status, is a condition during pregnancy or labor in which the fetus shows signs of inadequate oxygenation. [1] Due to its imprecision, the term "fetal distress" has fallen out of use in American obstetrics. [2] [1] [3] The term "non-reassuring fetal status" has largely replaced it. [4]
A contraction stress test (CST) is performed near the end of pregnancy (34 weeks' gestation) to determine how well the fetus will cope with the contractions of childbirth. The aim is to induce contractions and monitor the fetus to check for heart rate abnormalities using a cardiotocograph. A CST is one type of antenatal fetal surveillance ...
Doppler fetal monitor. In later stages of pregnancy, a simple Doppler fetal monitor can be used to quantify the fetal heart rate. A fetal heartbeat can be detected at around 17 to 20 weeks of gestation when the chambers of the heart have become sufficiently developed. [20]
The fetal circulation is composed of the placenta, umbilical blood vessels encapsulated by the umbilical cord, heart and systemic blood vessels. A major difference between the fetal circulation and postnatal circulation is that the lungs are not used during the fetal stage resulting in the presence of shunts to move oxygenated blood and ...