Computerized analysis of the fetal heart rate in pregnancies complicated by preterm premature rupture of membranes (pPROM)
Objective. We aimed to show that in pregnancies complicated by preterm premature rupture of membranes (pPROM), there are alterations to the fetal heart rate pattern that can be detected by computerized analysis. Methods. The study population consisted of 27 pregnant women with pPROM at 29-34 weeks o...
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| Veröffentlicht in: | The journal of maternal-fetal & neonatal medicine 2006, Vol.19 (1), p.39-42 |
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| container_title | The journal of maternal-fetal & neonatal medicine |
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| creator | Buscicchio, Giorgia Giannubilo, Stefano R. Bezzeccheri, Valeria Scagnoli, Caterina Rinci, Arianna Tranquilli, Andrea L. |
| description | Objective. We aimed to show that in pregnancies complicated by preterm premature rupture of membranes (pPROM), there are alterations to the fetal heart rate pattern that can be detected by computerized analysis.
Methods. The study population consisted of 27 pregnant women with pPROM at 29-34 weeks of gestation and 33 normal pregnancies matched according to age, parity and gestation. A 30-minute fetal heart rate (FHR) tracing was analyzed by computer and umbilical artery cord blood was collected at birth.
Results. The baseline heart rate, the number of decelerations exceeding 20 beats per minute and the duration of episodes of low variation were higher in the pPROM group versus the controls. The number of decelerations exceeding 20 beats per minute had an independent, statistically significant association with umbilical artery pH at birth.
Conclusions. Even if our data require a prospective validation involving a larger number of pathological cases, a computerized FHR tracing analysis may improve the clinical care and the timing of delivery during pPROM by definition of the risk of acidemia and pre-acidemia. |
| doi_str_mv | 10.1080/14767050500361505 |
| format | Article |
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Methods. The study population consisted of 27 pregnant women with pPROM at 29-34 weeks of gestation and 33 normal pregnancies matched according to age, parity and gestation. A 30-minute fetal heart rate (FHR) tracing was analyzed by computer and umbilical artery cord blood was collected at birth.
Results. The baseline heart rate, the number of decelerations exceeding 20 beats per minute and the duration of episodes of low variation were higher in the pPROM group versus the controls. The number of decelerations exceeding 20 beats per minute had an independent, statistically significant association with umbilical artery pH at birth.
Conclusions. Even if our data require a prospective validation involving a larger number of pathological cases, a computerized FHR tracing analysis may improve the clinical care and the timing of delivery during pPROM by definition of the risk of acidemia and pre-acidemia.</description><identifier>ISSN: 1476-7058</identifier><identifier>EISSN: 1476-4954</identifier><identifier>DOI: 10.1080/14767050500361505</identifier><identifier>PMID: 16492590</identifier><identifier>CODEN: JMNMAE</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>acidemia ; Adult ; Cardiotocography - methods ; Case-Control Studies ; computerized cardiotocography ; Female ; Fetal Blood - chemistry ; Fetal Membranes, Premature Rupture - physiopathology ; FHR ; Heart Rate, Fetal - physiology ; Humans ; Hydrogen-Ion Concentration ; pPROM ; Pregnancy ; Regression Analysis ; Signal Processing, Computer-Assisted ; umbilical pH</subject><ispartof>The journal of maternal-fetal & neonatal medicine, 2006, Vol.19 (1), p.39-42</ispartof><rights>2006 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2006</rights><rights>Copyright Taylor & Francis Ltd. Jan 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-9c686dcecf3f3fa1df1bf548ee3c60f1da48ecc90d21fb196df37eacb76283783</citedby><cites>FETCH-LOGICAL-c431t-9c686dcecf3f3fa1df1bf548ee3c60f1da48ecc90d21fb196df37eacb76283783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/14767050500361505$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/14767050500361505$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,778,782,4012,27910,27911,27912,59632,60421,61206,61387</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16492590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Buscicchio, Giorgia</creatorcontrib><creatorcontrib>Giannubilo, Stefano R.</creatorcontrib><creatorcontrib>Bezzeccheri, Valeria</creatorcontrib><creatorcontrib>Scagnoli, Caterina</creatorcontrib><creatorcontrib>Rinci, Arianna</creatorcontrib><creatorcontrib>Tranquilli, Andrea L.</creatorcontrib><title>Computerized analysis of the fetal heart rate in pregnancies complicated by preterm premature rupture of membranes (pPROM)</title><title>The journal of maternal-fetal & neonatal medicine</title><addtitle>J Matern Fetal Neonatal Med</addtitle><description>Objective. We aimed to show that in pregnancies complicated by preterm premature rupture of membranes (pPROM), there are alterations to the fetal heart rate pattern that can be detected by computerized analysis.
Methods. The study population consisted of 27 pregnant women with pPROM at 29-34 weeks of gestation and 33 normal pregnancies matched according to age, parity and gestation. A 30-minute fetal heart rate (FHR) tracing was analyzed by computer and umbilical artery cord blood was collected at birth.
Results. The baseline heart rate, the number of decelerations exceeding 20 beats per minute and the duration of episodes of low variation were higher in the pPROM group versus the controls. The number of decelerations exceeding 20 beats per minute had an independent, statistically significant association with umbilical artery pH at birth.
Conclusions. Even if our data require a prospective validation involving a larger number of pathological cases, a computerized FHR tracing analysis may improve the clinical care and the timing of delivery during pPROM by definition of the risk of acidemia and pre-acidemia.</description><subject>acidemia</subject><subject>Adult</subject><subject>Cardiotocography - methods</subject><subject>Case-Control Studies</subject><subject>computerized cardiotocography</subject><subject>Female</subject><subject>Fetal Blood - chemistry</subject><subject>Fetal Membranes, Premature Rupture - physiopathology</subject><subject>FHR</subject><subject>Heart Rate, Fetal - physiology</subject><subject>Humans</subject><subject>Hydrogen-Ion Concentration</subject><subject>pPROM</subject><subject>Pregnancy</subject><subject>Regression Analysis</subject><subject>Signal Processing, Computer-Assisted</subject><subject>umbilical pH</subject><issn>1476-7058</issn><issn>1476-4954</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9UU2LFDEQDaK4H_oDvEjwIOthNOl0p7vRiwx-wcqK6Dmkk4rTS9JpkzQy--utdgYWFaUOr0i996jUI-QRZ88569gLXreyZQ0WE5Ij3iGn69um7pv67rFHQndCznK-ZqziNWvukxMu675qenZKbrYxzEuBNN6ApXrSfp_HTKOjZQfUQdGe7kCnQpMuQMeJzgm-TXoyI2RqUOxHgxNLh_06QqewYtBlSUDTMv9C9AsQhqQnVF3Mnz5ffXz2gNxz2md4eMRz8vXtmy_b95vLq3cftq8vN6YWvGx6IztpDRgnsDS3jg-uqTsAYSRz3GrsjemZrbgbeC-tEy1oM7Sy6kTbiXPy9OA7p_h9gVxUGLMB73GZuGQlW9njNWskPvmDeB2XhCfJqmJcNFUjGiTxA8mkmHMCp-Y0Bp32ijO1pqL-SgU1j4_GyxDA3iqOMSDh1YEwTi6moH_E5K0qeu9jcmk9dlbif_4vf5NjYL7sjE5w-4N_q38CyMuu0w</recordid><startdate>2006</startdate><enddate>2006</enddate><creator>Buscicchio, Giorgia</creator><creator>Giannubilo, Stefano R.</creator><creator>Bezzeccheri, Valeria</creator><creator>Scagnoli, Caterina</creator><creator>Rinci, Arianna</creator><creator>Tranquilli, Andrea L.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>2006</creationdate><title>Computerized analysis of the fetal heart rate in pregnancies complicated by preterm premature rupture of membranes (pPROM)</title><author>Buscicchio, Giorgia ; Giannubilo, Stefano R. ; Bezzeccheri, Valeria ; Scagnoli, Caterina ; Rinci, Arianna ; Tranquilli, Andrea L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-9c686dcecf3f3fa1df1bf548ee3c60f1da48ecc90d21fb196df37eacb76283783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>acidemia</topic><topic>Adult</topic><topic>Cardiotocography - methods</topic><topic>Case-Control Studies</topic><topic>computerized cardiotocography</topic><topic>Female</topic><topic>Fetal Blood - chemistry</topic><topic>Fetal Membranes, Premature Rupture - physiopathology</topic><topic>FHR</topic><topic>Heart Rate, Fetal - physiology</topic><topic>Humans</topic><topic>Hydrogen-Ion Concentration</topic><topic>pPROM</topic><topic>Pregnancy</topic><topic>Regression Analysis</topic><topic>Signal Processing, Computer-Assisted</topic><topic>umbilical pH</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Buscicchio, Giorgia</creatorcontrib><creatorcontrib>Giannubilo, Stefano R.</creatorcontrib><creatorcontrib>Bezzeccheri, Valeria</creatorcontrib><creatorcontrib>Scagnoli, Caterina</creatorcontrib><creatorcontrib>Rinci, Arianna</creatorcontrib><creatorcontrib>Tranquilli, Andrea L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of maternal-fetal & neonatal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Buscicchio, Giorgia</au><au>Giannubilo, Stefano R.</au><au>Bezzeccheri, Valeria</au><au>Scagnoli, Caterina</au><au>Rinci, Arianna</au><au>Tranquilli, Andrea L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Computerized analysis of the fetal heart rate in pregnancies complicated by preterm premature rupture of membranes (pPROM)</atitle><jtitle>The journal of maternal-fetal & neonatal medicine</jtitle><addtitle>J Matern Fetal Neonatal Med</addtitle><date>2006</date><risdate>2006</risdate><volume>19</volume><issue>1</issue><spage>39</spage><epage>42</epage><pages>39-42</pages><issn>1476-7058</issn><eissn>1476-4954</eissn><coden>JMNMAE</coden><abstract>Objective. We aimed to show that in pregnancies complicated by preterm premature rupture of membranes (pPROM), there are alterations to the fetal heart rate pattern that can be detected by computerized analysis.
Methods. The study population consisted of 27 pregnant women with pPROM at 29-34 weeks of gestation and 33 normal pregnancies matched according to age, parity and gestation. A 30-minute fetal heart rate (FHR) tracing was analyzed by computer and umbilical artery cord blood was collected at birth.
Results. The baseline heart rate, the number of decelerations exceeding 20 beats per minute and the duration of episodes of low variation were higher in the pPROM group versus the controls. The number of decelerations exceeding 20 beats per minute had an independent, statistically significant association with umbilical artery pH at birth.
Conclusions. Even if our data require a prospective validation involving a larger number of pathological cases, a computerized FHR tracing analysis may improve the clinical care and the timing of delivery during pPROM by definition of the risk of acidemia and pre-acidemia.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>16492590</pmid><doi>10.1080/14767050500361505</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Taylor & Francis Journals Complete |
| subjects | acidemia Adult Cardiotocography - methods Case-Control Studies computerized cardiotocography Female Fetal Blood - chemistry Fetal Membranes, Premature Rupture - physiopathology FHR Heart Rate, Fetal - physiology Humans Hydrogen-Ion Concentration pPROM Pregnancy Regression Analysis Signal Processing, Computer-Assisted umbilical pH |
| title | Computerized analysis of the fetal heart rate in pregnancies complicated by preterm premature rupture of membranes (pPROM) |
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