Do high fetal catecholamine levels affect heart rate variability and meconium passage during labour ?
To determine the relationship between umbilical arterial catecholamine levels and fetal heart rate variability and meconium passage. A prospective descriptive study was performed. Umbilical artery catecholamine levels were measured in 55 newborns and correlated with fetal heart rate before delivery,...
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Veröffentlicht in: | South African medical journal 1993-10, Vol.83 (10), p.739-742 |
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creator | HOFMEYR, G. J ESSER, J NIKODEM, V. C LAWSON, M KRAMER, T GÜLMEZOGLU, A. M |
description | To determine the relationship between umbilical arterial catecholamine levels and fetal heart rate variability and meconium passage.
A prospective descriptive study was performed. Umbilical artery catecholamine levels were measured in 55 newborns and correlated with fetal heart rate before delivery, umbilical arterial pH, base excess and the presence of meconium-stained liquor.
The range of catecholamine levels was enormous, with very high epinephrine or norepinephrine levels in several fetuses. We were unable to demonstrate an association between high catecholamine levels and the presence of normal fetal heart rate variability despite acidaemia. We postulate that high catecholamine levels may inhibit fetal meconium passage. |
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A prospective descriptive study was performed. Umbilical artery catecholamine levels were measured in 55 newborns and correlated with fetal heart rate before delivery, umbilical arterial pH, base excess and the presence of meconium-stained liquor.
The range of catecholamine levels was enormous, with very high epinephrine or norepinephrine levels in several fetuses. We were unable to demonstrate an association between high catecholamine levels and the presence of normal fetal heart rate variability despite acidaemia. We postulate that high catecholamine levels may inhibit fetal meconium passage.</description><identifier>ISSN: 0256-9574</identifier><identifier>PMID: 8191329</identifier><identifier>CODEN: SAMJAF</identifier><language>eng</language><publisher>Pinelands: Medical Association of South Africa</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Catecholamines - blood ; Delivery. Postpartum. Lactation ; Female ; Fetal Blood - physiology ; Gynecology. Andrology. Obstetrics ; Heart Rate, Fetal - physiology ; Humans ; Infant, Newborn ; Maternal, fetal and perinatal monitoring ; Meconium - physiology ; Medical sciences ; Pregnancy ; Prospective Studies ; Tropical medicine</subject><ispartof>South African medical journal, 1993-10, Vol.83 (10), p.739-742</ispartof><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3826969$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8191329$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HOFMEYR, G. J</creatorcontrib><creatorcontrib>ESSER, J</creatorcontrib><creatorcontrib>NIKODEM, V. C</creatorcontrib><creatorcontrib>LAWSON, M</creatorcontrib><creatorcontrib>KRAMER, T</creatorcontrib><creatorcontrib>GÜLMEZOGLU, A. M</creatorcontrib><title>Do high fetal catecholamine levels affect heart rate variability and meconium passage during labour ?</title><title>South African medical journal</title><addtitle>S Afr Med J</addtitle><description>To determine the relationship between umbilical arterial catecholamine levels and fetal heart rate variability and meconium passage.
A prospective descriptive study was performed. Umbilical artery catecholamine levels were measured in 55 newborns and correlated with fetal heart rate before delivery, umbilical arterial pH, base excess and the presence of meconium-stained liquor.
The range of catecholamine levels was enormous, with very high epinephrine or norepinephrine levels in several fetuses. We were unable to demonstrate an association between high catecholamine levels and the presence of normal fetal heart rate variability despite acidaemia. We postulate that high catecholamine levels may inhibit fetal meconium passage.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Catecholamines - blood</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Female</subject><subject>Fetal Blood - physiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Heart Rate, Fetal - physiology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Maternal, fetal and perinatal monitoring</subject><subject>Meconium - physiology</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Tropical medicine</subject><issn>0256-9574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LxDAYhHtQ1nX1Jwg5iLdCm68mJ5H1Exa86Lm8Td5uI-mHSbrgv7dg8TTMzMMc5izbFlTIXIuKX2SXMX4VixdabrKNKnXJqN5m-DiSzh070mICTwwkNN3ooXcDEo8n9JFA26JJpEMIiYSFICcIDhrnXfohMFjSoxkHN_dkghjhiMTOwQ1H4qEZ50Dur7LzFnzE61V32efz08f-NT-8v7ztHw75RJlIuaWylVowxZQVSi2ZMRxQKKqKogROQXDVoDQNF02lEaTQpZUWFdea2ortsru_3SmM3zPGVPcuGvQeBhznWFeSVlxKtoA3Kzg3Pdp6Cq6H8FOvvyz97dpDNODbAINx8R9jikotNfsF6-1qww</recordid><startdate>19931001</startdate><enddate>19931001</enddate><creator>HOFMEYR, G. J</creator><creator>ESSER, J</creator><creator>NIKODEM, V. C</creator><creator>LAWSON, M</creator><creator>KRAMER, T</creator><creator>GÜLMEZOGLU, A. M</creator><general>Medical Association of South Africa</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19931001</creationdate><title>Do high fetal catecholamine levels affect heart rate variability and meconium passage during labour ?</title><author>HOFMEYR, G. J ; ESSER, J ; NIKODEM, V. C ; LAWSON, M ; KRAMER, T ; GÜLMEZOGLU, A. M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p235t-d26f6953838d588235cc4ae5828001a42a548be6cb45b79ea6591d6de84992d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Catecholamines - blood</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Female</topic><topic>Fetal Blood - physiology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Heart Rate, Fetal - physiology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Maternal, fetal and perinatal monitoring</topic><topic>Meconium - physiology</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HOFMEYR, G. J</creatorcontrib><creatorcontrib>ESSER, J</creatorcontrib><creatorcontrib>NIKODEM, V. C</creatorcontrib><creatorcontrib>LAWSON, M</creatorcontrib><creatorcontrib>KRAMER, T</creatorcontrib><creatorcontrib>GÜLMEZOGLU, A. M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>South African medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HOFMEYR, G. J</au><au>ESSER, J</au><au>NIKODEM, V. C</au><au>LAWSON, M</au><au>KRAMER, T</au><au>GÜLMEZOGLU, A. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do high fetal catecholamine levels affect heart rate variability and meconium passage during labour ?</atitle><jtitle>South African medical journal</jtitle><addtitle>S Afr Med J</addtitle><date>1993-10-01</date><risdate>1993</risdate><volume>83</volume><issue>10</issue><spage>739</spage><epage>742</epage><pages>739-742</pages><issn>0256-9574</issn><coden>SAMJAF</coden><abstract>To determine the relationship between umbilical arterial catecholamine levels and fetal heart rate variability and meconium passage.
A prospective descriptive study was performed. Umbilical artery catecholamine levels were measured in 55 newborns and correlated with fetal heart rate before delivery, umbilical arterial pH, base excess and the presence of meconium-stained liquor.
The range of catecholamine levels was enormous, with very high epinephrine or norepinephrine levels in several fetuses. We were unable to demonstrate an association between high catecholamine levels and the presence of normal fetal heart rate variability despite acidaemia. We postulate that high catecholamine levels may inhibit fetal meconium passage.</abstract><cop>Pinelands</cop><pub>Medical Association of South Africa</pub><pmid>8191329</pmid><tpages>4</tpages></addata></record> |
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subjects | Adolescent Adult Biological and medical sciences Catecholamines - blood Delivery. Postpartum. Lactation Female Fetal Blood - physiology Gynecology. Andrology. Obstetrics Heart Rate, Fetal - physiology Humans Infant, Newborn Maternal, fetal and perinatal monitoring Meconium - physiology Medical sciences Pregnancy Prospective Studies Tropical medicine |
title | Do high fetal catecholamine levels affect heart rate variability and meconium passage during labour ? |
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