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KMID : 1143220190620060469
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Obstetrics & Gynecology Science
2019 Volume.62 No. 6 p.469 ~ p.473
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Fetal autonomic malfunction as a marker of fetal distress in growth-restricted fetuses: three case reports
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Lakhno Igor Victorovich
Alexander Schmidt
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Abstract
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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.
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KEYWORD
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Fetal distress, Fetal growth restriction, Embryonic and fetal development
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