Fetal heart rate pattern reflecting the severity of placental abruption
Abstract
Objective To identify fetal heart rate (FHR) patterns reflecting the severity of placental abruption, and to determine the incidence of normal FHR pattern in cases of placental abruption.Materials and methods We analyzed FHR tracings from 40 pregnant Japanese women with placental abruption. We analyzed which FHR patterns appeared more frequently in cases of low 5-min Apgar score, low cord arterial pH, and large separation.Results Eight out of 40 cases showed a normal FHR pattern, while 32 cases did not show a normal FHR pattern. Undetectable variability and bradycardia appeared more frequently in cases with 5-min Apgar < 7, with cord blood pH < 7.1, and with larger placental separation than in cases without these features. The normal FHR pattern was associated with 5-min Apgar > or = 7, cord blood pH > or = 7.1, and separation of <25%.Conclusion Fetal heart rate pattern reflected the severity of placental abruption. Undetectable variability and bradycardia occurred significantly more frequently in cases of severe placental abruption, and thus may reflect the severity of placental abruption.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several studies suggest that acute abruption is a significant contributor to category III fetal heart rate patterns due to terminal bradycardia and sinusoidal fetal heart rate patterns.
“Several studies suggest that acute abruption is a significant contributor to category III FHR patterns due to terminal bradycardia and sinusoidal FHR patterns (62, 64–68).”
From Placental abruption at near-term and term gestations: Pathophysiology, epidemiology, diagnosis, and management (2023) · cites this paper as [64]
A wide array of abnormal fetal heart rate patterns is possible in abruption, reflecting the underlying pathophysiology of this condition.
“A wide array of abnormal FHR patterns is possible (62–65), reflecting the underlying pathophysiology of this condition (TABLE 3).”
From Placental abruption at near-term and term gestations: Pathophysiology, epidemiology, diagnosis, and management (2023) · cites this paper as [64]
In an analysis of 40 pregnant people in Japan with abruption, absent variability and bradycardia were associated with 5 minute Apgar <7, arterial umbilical cord blood pH <7.1, and larger abruption.
“In an analysis of 40 pregnant people in Japan with abruption, absent variability and bradycardia were associated with 5 minute Apgar <7, arterial umbilical cord blood pH <7.1, and larger abruption (64).”
From Placental abruption at near-term and term gestations: Pathophysiology, epidemiology, diagnosis, and management (2023) · cites this paper as [64]
Cites
The Pathology of the Human Placenta
Benirschke, K., & Driscoll, S. G. (1967) · Springer eBooks · doi:10.1007/978-1-4612-9809-0 · Cited by 2,123 · see citing works
Pathology of the Human Placenta
Benirschke, K., & Kaufmann, P. (1990) · Springer eBooks · doi:10.1007/978-1-4757-4193-3 · Cited by 689 · see citing works
Oyelese, Y., & Ananth, C. V. (2006) · Obstetrics & Gynecology · doi:10.1097/01.aog.0000239439.04364.9a · Cited by 508 · see citing works
Previous Cesarean Delivery and Risks of Placenta Previa and Placental Abruption
Getahun, D., Oyelese, Y., Salihu, H. M., & Ananth, C. V. (2006) · Obstetrics & Gynecology · doi:10.1097/01.aog.0000206182.63788.80 · Cited by 449 · see citing works
Electronic fetal heart rate monitoring: Research guidelines for interpretation
(1997) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(97)70079-6 · Cited by 419 · see citing works
Observations on heart rate and pH in the human fetus during labor
Kubli, F., Hon, E. H., Khazin, A. F., & Takemura, H. (1969) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(16)34294-6 · Cited by 399 · see citing works
Clinical utility of sonography in the diagnosis and treatment of placental abruption
Glantz, C., & Purnell, L. (2002) · Journal of Ultrasound in Medicine · doi:10.7863/jum.2002.21.8.837 · Cited by 246 · see citing works
Intrapartum fetal heart rate monitoring
Krebs, H. B., Petres, R. E., Dunn, L. J., Jordaan, H. V. F., & Segreti, A. C. (1980) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(16)32835-6 · Cited by 165 · see citing works
Pregnancy outcome in severe placental abruption
Kayani, S. I., Walkinshaw, S. A., & Preston, C. (2003) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1046/j.1471-0528.2003.02088.x · Cited by 131 · see citing works
Intrapartum fetal heart rate patterns in the prediction of neonatal acidemia
Williams, K. P., & Galerneau, F. (2003) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2003.183 · Cited by 128 · see citing works
Low, J. A. (1999) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(98)00441-4 · Cited by 121 · see citing works
Problems with intrapartum fetal heart rate monitoring interpretation and patient management
Freeman, R. (2002) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(02)02211-1 · Cited by 87 · see citing works
(2005) · Obstetrics and Gynecology · doi:10.1097/00006250-200512000-00053 · Cited by 79 · see citing works
Second Stage Fetal Heart Rate Abnormalities and Neonatal Acidosis
Gistrap, L. C., Hauth, J. C., Toussaint, S., & McMorland, G. H. (1984) · Obstetric Anesthesia Digest · doi:10.1097/00132582-198412000-00013 · Cited by 26 · see citing works
Second stage fetal heart rate abnormalities and neonatal acidosis.
Gilstrap, L. C., Jc, H., & Toussaint, S. (1984) · PubMed · Cited by 20 · see citing works
Cardiotocographic findings in abruptio placentae
Heinonen, P. K., Kajan, M., & Saarikoski, S. (1986) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/0028-2243(86)90107-3 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Brandt, J. S., & Ananth, C. V. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2022.06.059 · Cited by 115 · see citing works
CT evaluation of placental abruption in pregnant trauma patients
Wei, S. H., Helmy, M., & Cohen, A. J. (2009) · Emergency Radiology · doi:10.1007/s10140-009-0804-z · Cited by 59 · see citing works
Ananth, C. V., & Friedman, A. M. (2014) · Seminars in Perinatology · doi:10.1053/j.semperi.2014.03.007 · Cited by 58 · see citing works
Vintzileos, A. M., & Smulian, J. C. (2016) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2016.05.046 · Cited by 55 · see citing works
Zullo, F., Mascio, D. D., Raghuraman, N., Wagner, S., Brunelli, R., Giancotti, A., Figueroa, H. M., Cahill, A. G., Gupta, M., Berghella, V., et al. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2023.04.008 · Cited by 24 · see citing works
Fetal heart rate patterns related to neonatal brain damage and neonatal death in placental abruption
Takano, Y., Furukawa, S., Ohashi, M., Michikata, K., Sameshima, H., & Ikenoue, T. (2013) · Journal of obstetrics and gynaecology research · doi:10.1111/j.1447-0756.2012.01945.x · Cited by 20 · see citing works
Hussain, N. M., O’Halloran, M., McDermott, B., & Elahi, A. (2023) · Biomedical Physics & Engineering Express · doi:10.1088/2057-1976/ad17a6 · Cited by 16 · see citing works
Choi, W.-Y., & Hoh, J.-K. (2015) · Placenta · doi:10.1016/j.placenta.2015.10.002 · Cited by 12 · see citing works
Suzuki, S. (2012) · ISRN Obstetrics and Gynecology · doi:10.5402/2012/856971 · Cited by 12 · see citing works
Automatic classification of fetal heart rate based on a multi-scale LSTM network
Rao, L., Lü, J., Wu, H., Zhao, S., Lu, B., & Li, H. (2024) · Frontiers in Physiology · doi:10.3389/fphys.2024.1398735 · Cited by 13 · see citing works
Maternal and fetal prognosis in abruptio placentae at Korle-Bu Teaching Hospital, Ghana.
Coleman, J., Srofenyo, E. K., Ofori, E. K., Brakohiapa, E. K., & Antwi, W. K. (2014) · African Journal of Reproductive Health · Cited by 10 · see citing works
Placental Abruption Associated with Cerebral Palsy
Suzuki, S. (2022) · Journal of Nippon Medical School · doi:10.1272/jnms.jnms.2022_89-312 · Cited by 9 · see citing works
Fahey, J. O. (2014) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.12256 · Cited by 6 · see citing works
Suzuki, S., Satomi, M., Hiraizumi, Y., & Miyake, H. (2010) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-010-1478-1 · Cited by 6 · see citing works
Injury in motor vehicle accidents during pregnancy: a pregnant issue
Sela, H. Y., & Einav, S. (2010) · Expert Review of Obstetrics & Gynecology · doi:10.1586/eog.10.68 · Cited by 5 · see citing works
Placenta praevia, placental abruption and amphetamine use in pregnancy: A case study
McLaurin, R., & Geraghty, S. (2012) · Women and Birth · doi:10.1016/j.wombi.2012.11.002 · Cited by 4 · see citing works
11 Prenatal and Perinatal Factors in the Development of Persistent Criminality
Tibbetts, S. G., & Rivera, J. (2014) · Springer eBooks · doi:10.1007/978-3-319-08720-7_11 · Cited by 4 · see citing works
Augustin, G. (2023) · Springer eBooks · doi:10.1007/978-3-031-26021-6_25 · Cited by 3 · see citing works
Clinical Management and Outcome of Pregnancies Complicated by Previous Abruption
Sakikawa, M., Adachi, T., Nakabayashi, Y., Matsui, D., Urano, A., Tang, X., Kaya, T., Kawana, Y., Takeda, Y., Nakayama, S., et al. (2010) · Hypertension in Pregnancy · doi:10.3109/10641955.2010.507835 · Cited by 3 · see citing works
Zhang, Y., Zuo, X., Yuan, T., & Teng, Y. (2019) · Medicine · doi:10.1097/md.0000000000015472 · Cited by 2 · see citing works
Clinical implications of a Couvelaire uterus with placental abruption: A retrospective study
Hiiragi, K., Obata, S., Miyagi, E., & Aoki, S. (2024) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.15821 · Cited by 2 · see citing works
Premature detachment of normally situated placenta. Epidemiology, risk factors, prognosis, outcomes
Zharkin, N. A., Lavenyukova, E. M., & Miroshnikov, A. E. (2018) · Russian Bulletin of Obstetrician-Gynecologist · doi:10.17116/rosakush201818320-24 · Cited by 3 · see citing works
Misquoting Page's classification for placental abruption in Japan?
Matsubara, S., Usui, R., & Ohkuchi, A. (2011) · Journal of obstetrics and gynaecology research · doi:10.1111/j.1447-0756.2011.01532.x · Cited by 2 · see citing works
Self-citationCurrent awareness in prenatal diagnosis
John Wiley & Sons, L. (2008) · Prenatal Diagnosis · doi:10.1002/pd.1859 · Cited by 1 · see citing works
Eyo, N. M., & Effiong, I. A. (2025) · Global Journal of Pure and Applied Sciences · doi:10.4314/gjpas.v31i3.14 · Cited by 1 · see citing works
Updates in the Management of Ob-Gyn Emergencies
Ragusa, A., Svelato, A., Tommaso, M. D., D’Avino, S., Rinaldo, D., & Maini, I. M. (2019) · Springer eBooks · doi:10.1007/978-3-319-95114-0_33 · Cited by 1 · see citing works
Augustin, G. (2018) · Springer eBooks · doi:10.1007/978-3-319-72995-4_10 · Cited by 1 · see citing works
Masahiko, M., Azuma, H., Kobayasi, Y., Ogawa, K., Katoh, T., Sasaki, S., Miyakawa, Y., Yamamoto, T., & Makimoto, Y. (2009) · Journal of Nihon University Medical Association · doi:10.4264/numa.68.231
Clinical Study of Placental Abruption
Odai, T., SAKAMOTO, M., Takagi, K., Kobayashi, M., Nakamura, R. M., Yoshida, T., Tsurane, K., KURITA, F., FUJIOKA, Y., ICHIKAWA, M., et al. (2014) · JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE · doi:10.2185/jjrm.63.105
Strip of the Month: Placental Abruption Case Report
Guerrero, K. D. M., Winter, M., & Borders, A. E. B. (2017) · NeoReviews · doi:10.1542/neo.18-6-e398
Hajrović, A., Hajrović, S., Hajrović, Š., Nurković, J., Preljević, I., & Suljić, M. (2016) · Materia Medica · doi:10.5937/matmed1603446h
Identification and Management of Presumed Intrapartum Fetal Distress
Rosser, S., Daly, M. E., Turner, J., & Kumar, S. (2025) · Cambridge University Press eBooks · doi:10.1017/9781009497459.007
Odendaal, H. J., & Lamont, R. (2025) · Expert Opinion on Drug Safety · doi:10.1080/14740338.2025.2580313
Zhou, X., Qiu, T., Lin, C., Zhou, J., Jiang, S., Wang, L., Feng, L., Wang, X., & You, Q. (2026) · Frontiers in Pediatrics · doi:10.3389/fped.2026.1717012
Peripartum Vascular Calamities: Placental Abruption and Amniotic Fluid Emboli
Wolfovitz, A., Brenner, B., & Solt, I. (2026) · Seminars in Thrombosis and Hemostasis · doi:10.1055/a-2877-3436
- Authors
- Usui, R., Matsubara, S., Ohkuchi, A., Kuwata, T., Watanabe, T., Izumi, A., & Suzuki, M.
- Affiliations
- Jichi Medical University (JP)
- Corresponding author
- Matsubara, Shigeki
- Venue
- Archives of Gynecology and Obstetrics
- Published
- 2007-09-25
- Volume
- 277
- Issue
- 3
- Pages
- 249-253
- ISSN
- 0003-9128 (ISSN-L)
- 0932-0067
- 1432-0711
- OpenAlex
- W2018676778
- Cited by
- 35
- References
- 16
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 5 · 2012: 3
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Gynecology and Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- placental abruption, fetal heart rate patterns, fetal bradycardia, fetal heart rate variability, Apgar score, cord blood pH, placental separation, fetal distress, disease severity assessment
- MeSH terms
- Abruptio Placentae, Apgar Score, Bradycardia, Female, Fetal Blood, Heart Rate, Fetal, Humans, Hydrogen-Ion Concentration, Pregnancy, Severity of Illness Index, Ultrasonography
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
