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Fetal bradycardia

MedGen UID:
452492
•Concept ID:
C0410919
•
Disease or Syndrome
Synonyms: Baseline Fetal Bradycardia; Fetal Bradycardia
SNOMED CT: Fetal bradycardia (240299002)

Definition

A fetal heart rate below 110 bpm that is sustained for longer than 10 minutes. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFetal bradycardia

Professional guidelines

PubMed

Intrathecal catheter use after accidental dural puncture in obstetric patients: literature review and clinical management recommendations.
Orbach-Zinger S, Jadon A, Lucas DN, Sia AT, Tsen LC, Van de Velde M, Heesen M
Anaesthesia 2021 Aug;76(8):1111-1121. Epub 2021 Jan 21 doi: 10.1111/anae.15390. PMID: 33476424
Evidence-based risk assessment and recommendations for physical activity clearance: pregnancy.
Charlesworth S, Foulds HJ, Burr JF, Bredin SS
Appl Physiol Nutr Metab 2011 Jul;36 Suppl 1:S33-48. doi: 10.1139/h11-061. PMID: 21800947
Diagnosis and management of fetal bradyarrhythmias.
Jaeggi ET, Friedberg MK
Pacing Clin Electrophysiol 2008 Feb;31 Suppl 1:S50-3. doi: 10.1111/j.1540-8159.2008.00957.x. PMID: 18226037

Recent clinical studies

Etiology

Optimizing the management of acute, prolonged decelerations and fetal bradycardia based on the understanding of fetal pathophysiology.
Chandraharan E, Ghi T, Fieni S, Jia YJ
Am J Obstet Gynecol 2023 Jun;228(6):645-656. doi: 10.1016/j.ajog.2022.05.014. PMID: 37270260
Placental Location in Maternal-Fetal Surgery for Myelomeningocele.
Lillegard JB, Eyerly-Webb SA, Watson DA, Bahtiyar MO, Bennett KA, Emery SP, Fisher AJ, Goldstein RB, Goodnight WH, Lim FY, McCullough LB, Moehrlen U, Moldenhauer JS, Moon-Grady AJ, Ruano R, Skupski DW, Treadwell MC, Tsao K, Wagner AJ, Zaretsky MV; fMMC Consortium Sponsored by NAFTnet
Fetal Diagn Ther 2022;49(3):117-124. Epub 2021 Dec 10 doi: 10.1159/000521379. PMID: 34915495
Fetal heart rate nadir during bradycardia and umbilical artery acidemia at birth.
Lepercq J, Nghiem MA, Goffinet F
Acta Obstet Gynecol Scand 2021 May;100(5):964-970. Epub 2021 Jan 26 doi: 10.1111/aogs.14061. PMID: 33314025
Bradycardia-to-delivery interval and fetal outcomes in umbilical cord prolapse.
Wong L, Tse WT, Lai CY, Hui ASY, Chaemsaithong P, Sahota DS, Poon LC, Leung TY
Acta Obstet Gynecol Scand 2021 Jan;100(1):170-177. Epub 2020 Sep 14 doi: 10.1111/aogs.13985. PMID: 32862427
Fetal blood sampling.
Society for Maternal-Fetal Medicine (SMFM), Berry SM, Stone J, Norton ME, Johnson D, Berghella V
Am J Obstet Gynecol 2013 Sep;209(3):170-80. doi: 10.1016/j.ajog.2013.07.014. PMID: 23978246

Diagnosis

Fetal heart rate tracings associated with eclamptic seizures.
Ambia AM, Wells CE, Yule CS, McIntire DD, Cunningham FG
Am J Obstet Gynecol 2022 Oct;227(4):622.e1-622.e6. Epub 2022 Jun 2 doi: 10.1016/j.ajog.2022.05.058. PMID: 35662632
Fetal heart rate nadir during bradycardia and umbilical artery acidemia at birth.
Lepercq J, Nghiem MA, Goffinet F
Acta Obstet Gynecol Scand 2021 May;100(5):964-970. Epub 2021 Jan 26 doi: 10.1111/aogs.14061. PMID: 33314025
Bradycardia-to-delivery interval and fetal outcomes in umbilical cord prolapse.
Wong L, Tse WT, Lai CY, Hui ASY, Chaemsaithong P, Sahota DS, Poon LC, Leung TY
Acta Obstet Gynecol Scand 2021 Jan;100(1):170-177. Epub 2020 Sep 14 doi: 10.1111/aogs.13985. PMID: 32862427
Fetal arrhythmia: prenatal diagnosis and perinatal management.
Maeno Y, Hirose A, Kanbe T, Hori D
J Obstet Gynaecol Res 2009 Aug;35(4):623-9. doi: 10.1111/j.1447-0756.2009.01080.x. PMID: 19751319
Diagnosis and management of fetal bradyarrhythmias.
Jaeggi ET, Friedberg MK
Pacing Clin Electrophysiol 2008 Feb;31 Suppl 1:S50-3. doi: 10.1111/j.1540-8159.2008.00957.x. PMID: 18226037

Therapy

Intrathecal catheter use after accidental dural puncture in obstetric patients: literature review and clinical management recommendations.
Orbach-Zinger S, Jadon A, Lucas DN, Sia AT, Tsen LC, Van de Velde M, Heesen M
Anaesthesia 2021 Aug;76(8):1111-1121. Epub 2021 Jan 21 doi: 10.1111/anae.15390. PMID: 33476424
What's new in clinical obstetric anesthesia in 2015?
Hess PE
Int J Obstet Anesth 2017 Nov;32:54-63. Epub 2017 Mar 18 doi: 10.1016/j.ijoa.2017.03.008. PMID: 28684143
Fetal blood sampling.
Society for Maternal-Fetal Medicine (SMFM), Berry SM, Stone J, Norton ME, Johnson D, Berghella V
Am J Obstet Gynecol 2013 Sep;209(3):170-80. doi: 10.1016/j.ajog.2013.07.014. PMID: 23978246
Amnioinfusion: a review.
Lameier LN, Katz VL
Obstet Gynecol Surv 1993 Dec;48(12):829-37. doi: 10.1097/00006254-199312000-00008. PMID: 8309665
Fetal reacting bradycardia.
Goodlin RC, Haesslein HC
Am J Obstet Gynecol 1977 Dec 15;129(8):845-56. doi: 10.1016/0002-9378(77)90518-x. PMID: 22247

Prognosis

Abnormal fetal heart rate patterns caused by pathophysiologic processes other than fetal acidemia.
Vintzileos AM, Smulian JC
Am J Obstet Gynecol 2023 May;228(5S):S1144-S1157. Epub 2023 Mar 17 doi: 10.1016/j.ajog.2022.05.002. PMID: 36964003
Fetal heart rate nadir during bradycardia and umbilical artery acidemia at birth.
Lepercq J, Nghiem MA, Goffinet F
Acta Obstet Gynecol Scand 2021 May;100(5):964-970. Epub 2021 Jan 26 doi: 10.1111/aogs.14061. PMID: 33314025
The outcomes and risk factors of fetal bradycardia associated with external cephalic version.
Suyama F, Ogawa K, Tazaki Y, Miwa T, Taniguchi K, Nakamura N, Tanaka S, Tanigaki S, Sago H
J Matern Fetal Neonatal Med 2019 Mar;32(6):922-926. Epub 2017 Nov 2 doi: 10.1080/14767058.2017.1395846. PMID: 29057691
Fetal cardiac arrhythmia detection and in utero therapy.
Strasburger JF, Wakai RT
Nat Rev Cardiol 2010 May;7(5):277-90. doi: 10.1038/nrcardio.2010.32. PMID: 20418904Free PMC Article
Intrahepatic cholestasis of pregnancy.
Pusl T, Beuers U
Orphanet J Rare Dis 2007 May 29;2:26. doi: 10.1186/1750-1172-2-26. PMID: 17535422Free PMC Article

Clinical prediction guides

Fetal heart rate nadir during bradycardia and umbilical artery acidemia at birth.
Lepercq J, Nghiem MA, Goffinet F
Acta Obstet Gynecol Scand 2021 May;100(5):964-970. Epub 2021 Jan 26 doi: 10.1111/aogs.14061. PMID: 33314025
Fetal heart rate monitoring in nonobstetric surgery: a systematic review of the evidence.
Higgins MF, Pollard L, McGuinness SK, Kingdom JC
Am J Obstet Gynecol MFM 2019 Nov;1(4):100048. Epub 2019 Sep 27 doi: 10.1016/j.ajogmf.2019.100048. PMID: 33345838
The outcomes and risk factors of fetal bradycardia associated with external cephalic version.
Suyama F, Ogawa K, Tazaki Y, Miwa T, Taniguchi K, Nakamura N, Tanaka S, Tanigaki S, Sago H
J Matern Fetal Neonatal Med 2019 Mar;32(6):922-926. Epub 2017 Nov 2 doi: 10.1080/14767058.2017.1395846. PMID: 29057691
Prediction of miscarriage in women with viable intrauterine pregnancy-A systematic review and diagnostic accuracy meta-analysis.
Pillai RN, Konje JC, Richardson M, Tincello DG, Potdar N
Eur J Obstet Gynecol Reprod Biol 2018 Jan;220:122-131. Epub 2017 Nov 4 doi: 10.1016/j.ejogrb.2017.10.024. PMID: 29207325
Intrahepatic cholestasis of pregnancy.
Pusl T, Beuers U
Orphanet J Rare Dis 2007 May 29;2:26. doi: 10.1186/1750-1172-2-26. PMID: 17535422Free PMC Article

Recent systematic reviews

Elite Athletes and Pregnancy Outcomes: A Systematic Review and Meta-analysis.
Wowdzia JB, McHugh TL, Thornton J, Sivak A, Mottola MF, Davenport MH
Med Sci Sports Exerc 2021 Mar 1;53(3):534-542. doi: 10.1249/MSS.0000000000002510. PMID: 32925496
Fetal heart rate monitoring in nonobstetric surgery: a systematic review of the evidence.
Higgins MF, Pollard L, McGuinness SK, Kingdom JC
Am J Obstet Gynecol MFM 2019 Nov;1(4):100048. Epub 2019 Sep 27 doi: 10.1016/j.ajogmf.2019.100048. PMID: 33345838
Prediction of miscarriage in women with viable intrauterine pregnancy-A systematic review and diagnostic accuracy meta-analysis.
Pillai RN, Konje JC, Richardson M, Tincello DG, Potdar N
Eur J Obstet Gynecol Reprod Biol 2018 Jan;220:122-131. Epub 2017 Nov 4 doi: 10.1016/j.ejogrb.2017.10.024. PMID: 29207325
Fetal blood sampling.
Society for Maternal-Fetal Medicine (SMFM), Berry SM, Stone J, Norton ME, Johnson D, Berghella V
Am J Obstet Gynecol 2013 Sep;209(3):170-80. doi: 10.1016/j.ajog.2013.07.014. PMID: 23978246
Fetal bradycardia due to intrathecal opioids for labour analgesia: a systematic review.
Mardirosoff C, Dumont L, Boulvain M, Tramèr MR
BJOG 2002 Mar;109(3):274-81. doi: 10.1111/j.1471-0528.2002.01380.x. PMID: 11950182

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