INTRAPARTUM FETAL ATRIAL BIGEMINY - DIAGNOSTIC AND THERAPEUTIC ROLE OF THE FETAL SCALP STIMULATION TEST

Authors
WAX JR EMMERICH M EGGLESTON MK
Citation
Jr. Wax et al., INTRAPARTUM FETAL ATRIAL BIGEMINY - DIAGNOSTIC AND THERAPEUTIC ROLE OF THE FETAL SCALP STIMULATION TEST, American journal of obstetrics and gynecology, 174(5), 1996, pp. 1649-1650
Citations number
2
Categorie Soggetti
Obsetric & Gynecology
Journal title
American journal of obstetrics and gynecology → ACNP
ISSN journal
00029378
Volume
174
Issue
5
Year of publication
1996
Pages
1649 - 1650
Database
ISI
SICI code
0002-9378(1996)174:5<1649:IFAB-D>2.0.ZU;2-Q
Abstract
Concern for fetal hypoxia often leads to cesarean delivery when persis tent fetal bradycardia is identified. A fetus with premature atrial co ntractions had a prolonged second-stage heart rate of 80 beats/min. In trapartum echocardiography and electronic fetal heart rate monitoring distinguished bradycardia caused by blocked atrial bigeminy from hypox ic bradycardia. The fetal scalp stimulation test documented normal aci d-base balance and normalized the ventricular rate, avoiding cesarean delivery.