Electronic fetal monitoring characteristics of a patient with sudden onset of placental abruption and intrauterine fetal demise: A case report
Open accessAbstract
Introduction: Placental abruption (PA) is a serious complication of pregnancy, associated with significant perinatal complications, including intrauterine fetal demise (IUFD). Continuous electronic fetal monitoring (EFM) has been widely applied in China in recent decades. Exploration of potentially PA-specific patterns of EFM contributes to early detection of PA occurrence. Patient concerns and diagnosis: A 33-year-old woman (gravida 3, para 1) was referred to our hospital at 33+3 weeks gestation due to non-reassuring fetal heart rate (FHR) pattern, and suffered sudden onset of severe PA and subsequent intrauterine fetal demise. Interventions: We analyzed the characteristics of her non-stress tests (NSTs) 1 day and 10 min before the detection of PA, aiming to explore potentially PA-specific patterns of EFM and provide reference for early detection of asymptomatic PA occurrence in obstetric practice. Outcomes: Unfavored characteristics of FHR patterns before PA onset are analyzed. Conclusion: For those who sense decreased fetal movements (DFMs), a NST and a biophysical profile (BPP) are recommended for exclusion of potential adverse maternal and fetal complications.
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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 [63]
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- Authors
- Zhang, Y., Zuo, X., Yuan, T., & Teng, Y.
- Affiliations
- First Affiliated Hospital of Xi'an Jiaotong University (CN)
- People's Liberation Army Air Force (CN)
- Corresponding author
- Teng, Yue
- Venue
- Medicine
- Published
- 2019-05
- Volume
- 98
- Issue
- 18
- Pages
- e15472
- ISSN
- 0025-7974 (ISSN-L)
- 1536-5964
- PMC
- PMC6504280
- OpenAlex
- W2975033487
- Cited by
- 2
- References
- 9
- Citations by year
- 2026: 1 · 2023: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Medicine (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Xi’an Jiaotong University
- Fundamental Research Funds for the Central Universities (No. xjj2016111)
- Natural Science Basic Research Program of Shaanxi Province
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- placental abruption, intrauterine fetal death, fetal heart rate monitoring, nonstress test, fetal heart rate patterns, reduced fetal movements, fetal biophysical profile
- MeSH terms
- Abruptio Placentae, Adult, Female, Fetal Death, Gestational Age, Heart Rate, Fetal, Humans, Pregnancy, Cardiotocography
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