Mañana, JUEVES, 24 DE ABRIL, el sistema se apagará debido a tareas habituales de mantenimiento a partir de las 9 de la mañana. Lamentamos las molestias.
Fetal heart rate changes on the cardiotocograph trace secondary to maternal COVID-19 infection
dc.contributor.author | Gracia-Perez-Bonfils, Anna | |
dc.contributor.author | Martínez Pérez, Óscar | |
dc.contributor.author | Llurba, Elisa | |
dc.contributor.author | Chandraharan, Edwin | |
dc.contributor.other | UAM. Departamento de Obstetricia y Ginecología | es_ES |
dc.date.accessioned | 2020-09-01T10:40:54Z | |
dc.date.available | 2020-09-01T10:40:54Z | |
dc.date.issued | 2020-07-02 | |
dc.identifier.citation | European Journal of Obstetrics & Gynecology and Reproductive Biology 252 (2020): 286-293 | en_US |
dc.identifier.issn | 0301-2115 (print) | en_US |
dc.identifier.uri | http://hdl.handle.net/10486/691778 | |
dc.description | Elsevier grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active | en_US |
dc.description.abstract | To determine the cardiotocograph (CTG) changes in women with symptomatic COVID-19 infection. Study design: 12 anonymised CTG traces from 2 hospitals in Spain were retrospectively analysed by 2 independent assessors. CTG parameters were studied based on fetal pathophysiological responses to inflammation and hypoxia that would be expected based on the pathogenesis of COVID-19 patients. Correlation was made with perinatal outcomes (Apgar score at 5 min and umbilical cord pH). Results: All fetuses showed an increased baseline FHR > 10 percent compared to the initial recording, in addition to absence of accelerations. 10 out of 12 CTG traces (83.3 percent) demonstrated late or prolonged decelerations and 7 out of 12 fetuses (58.3 percent) showed absence of cycling. Not a single case of sinusoidal pattern was observed. ZigZag pattern was found in 4 CTG traces (33 percent). Excessive uterine activity was observed in all CTG traces where uterine activity was monitored (10 out of 12). Apgar scores at 5 min were normal (>7) and absence of metabolic acidosis was found in the umbilical cord arterial pH (pH > 7.0) in the cases that were available (11 and 9, respectively). Conclusion: Fetuses of COVID-19 patients showed a raised baseline FHR (>10 percent), loss of accelerations, late decelerations, ZigZag pattern and absence of cycling probably due to the effects of maternal pyrexia, maternal inflammatory response and the “cytokine storm”. However, the perinatal outcomes appear to be favourable. Therefore, healthcare providers should optimise the maternal environment first to rectify the reactive CTG changes instead of performing an urgent operative intervention | en_US |
dc.format.extent | 9 págs. | es_ES |
dc.format.mimetype | application/pdf | en |
dc.language.iso | eng | en |
dc.publisher | Elsevier | es_ES |
dc.relation.ispartof | European Journal of Obstetrics & Gynecology and Reproductive Biology | en_US |
dc.rights | © 2020 Elsevier B.V. All rights reserved | es_ES |
dc.subject.other | COVID-19 | es_ES |
dc.subject.other | CTG | en_US |
dc.subject.other | Cardiotocograph | en_US |
dc.subject.other | Cytokine storm | en_US |
dc.subject.other | Physiological CTG interpretation | en_US |
dc.subject.other | ZigZag pattern | en_US |
dc.title | Fetal heart rate changes on the cardiotocograph trace secondary to maternal COVID-19 infection | en_US |
dc.type | article | en_US |
dc.subject.eciencia | Medicina | es_ES |
dc.relation.publisherversion | https://doi.org/10.1016/j.ejogrb.2020.06.049 | es_ES |
dc.identifier.doi | 10.1016/j.ejogrb.2020.06.049 | es_ES |
dc.identifier.publicationfirstpage | 286 | es_ES |
dc.identifier.publicationlastpage | 293 | es_ES |
dc.identifier.publicationvolume | 252 | es_ES |
dc.type.version | info:eu-repo/semantics/publishedVersion | en |
dc.rights.accessRights | openAccess | es_ES |
dc.authorUAM | Martínez Pérez, Oscar (271125) | |
dc.facultadUAM | Facultad de Medicina |