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Relationship of prelabor fetal cardiac function with intrapartum fetal compromise and neonatal status at term

Ultrasound in Obstetrics & Gynecology Jun 12, 2018

Alsolai AA, et al. - In this blinded, prospective, observational, cohort study, the researchers examined prospectively the correlation of fetal cardiac function and Doppler ultrasound parameters with intrapartum fetal compromise (IFC) in appropriately grown term fetuses, as well as to correlate prenatal cardiac function with neonatal acid–base status, intrapartum fetal heart rate (FHR) abnormalities and adverse neonatal outcomes. Study participants were two hundred seventy women with an uncomplicated singleton pregnancy who underwent fortnightly ultrasound assessment from 36 weeks' gestation until delivery at the Mater Mother's Hospital, Brisbane, Australia. Findings revealed that term fetuses with estimated fetal weight > 10th centile that develops IFC had evidence of lower left ventricular cardiac output (LVCO) and higher right ventricular cardiac output (RVCO), which were in turn correlated with a poorer condition of the newborn. They reported that fetal cerebroplacental ratio (CPR) was positively associated with LVCO.
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