open access

Vol 81, No 8 (2010)
ARTICLES
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Cardiotocography in fetal heart arrhythmia – analysis of cases

Anita Hamela-Olkowska, Joanna Szymkiewicz-Dangel, Ewa Romejko-Wolniewicz, Justyna Teliga-Czajkowska, Krzysztof Czajkowski
Ginekol Pol 2010;81(8).

open access

Vol 81, No 8 (2010)
ARTICLES

Abstract

Summary Cardiotocography (CTG) is routinely used in obstetric units to monitor fetal well-being during pregnancy and labor. Nevertheless the use of CTG is limited in cases of fetal arrhythmia, because it truncates the FHR if faster than 210 bpm and slower than 50 bpm. In fetal arrhythmias, with the heart rate between 50 bpm and 210 bpm, CTG may be nonconclusive, difficult to interpret and should not be taken into consideration when making the decision to end the pregnancy, especially when it is premature. Until now the usefulness of CTG in the fetal arrhythmia has not been sufficiently described. The following study evaluates typical cases of fetal arrhythmia diagnosed by fetal echocardiography with corresponding cardiotocography and reviews the decision that had been made in each case.

Abstract

Summary Cardiotocography (CTG) is routinely used in obstetric units to monitor fetal well-being during pregnancy and labor. Nevertheless the use of CTG is limited in cases of fetal arrhythmia, because it truncates the FHR if faster than 210 bpm and slower than 50 bpm. In fetal arrhythmias, with the heart rate between 50 bpm and 210 bpm, CTG may be nonconclusive, difficult to interpret and should not be taken into consideration when making the decision to end the pregnancy, especially when it is premature. Until now the usefulness of CTG in the fetal arrhythmia has not been sufficiently described. The following study evaluates typical cases of fetal arrhythmia diagnosed by fetal echocardiography with corresponding cardiotocography and reviews the decision that had been made in each case.
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Keywords

Cardiotocography, fetal arrhythmia, fetal echocardiography, doppler ultrasound

About this article
Title

Cardiotocography in fetal heart arrhythmia – analysis of cases

Journal

Ginekologia Polska

Issue

Vol 81, No 8 (2010)

Bibliographic record

Ginekol Pol 2010;81(8).

Keywords

Cardiotocography
fetal arrhythmia
fetal echocardiography
doppler ultrasound

Authors

Anita Hamela-Olkowska
Joanna Szymkiewicz-Dangel
Ewa Romejko-Wolniewicz
Justyna Teliga-Czajkowska
Krzysztof Czajkowski

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