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
Hauptverfasser: HOFMEYR, G. J, ESSER, J, NIKODEM, V. C, LAWSON, M, KRAMER, T, GÜLMEZOGLU, A. M
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container_end_page 742
container_issue 10
container_start_page 739
container_title South African medical journal
container_volume 83
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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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
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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