scholarly journals Fetal heart rate and umbilical artery flow velocity variability in intrauterine growth restriction: a matched controlled study

2004 ◽  
Vol 23 (5) ◽  
pp. 461-465 ◽  
Author(s):  
A. S. M. Vinkesteijn ◽  
P. C. Struijk ◽  
N. T. C. Ursem ◽  
W. C. J. Hop ◽  
J. W. Wladimiroff
2011 ◽  
Vol 31 (5) ◽  
pp. 509-514 ◽  
Author(s):  
E. A. Huhn ◽  
S. Lobmaier ◽  
T. Fischer ◽  
R. Schneider ◽  
A. Bauer ◽  
...  

1989 ◽  
Vol 160 (3) ◽  
pp. 704-707 ◽  
Author(s):  
Alexander D. Kofinas ◽  
Mark Espeland ◽  
Melissa Swain ◽  
Mary Penry ◽  
Lewis H. Nelson

1998 ◽  
Vol 95 (5) ◽  
pp. 539-545 ◽  
Author(s):  
Nicolette T. C. URSEM ◽  
Piet C. STRUIJK ◽  
Wim C. J. HOP ◽  
Edward B. CLARK ◽  
Bradley B. KELLER ◽  
...  

1.The aim of this study was to define from umbilical artery flow velocity waveforms absolute peak systolic and time-averaged velocity, fetal heart rate, fetal heart rate variability and flow velocity variability, and the relation between fetal heart rate and velocity variables in early pregnancy. 2.A total of 108 women presenting with a normal pregnancy from 10 to 20 weeks of gestation consented to participate in a cross-sectional study design. Doppler ultrasound recordings were made from the free-floating loop of the umbilical cord. 3.Umbilical artery peak systolic and time-averaged velocity increased at 10–20 weeks, whereas fetal heart rate decreased at 10–15 weeks of gestation and plateaued thereafter. Umbilical artery peak systolic velocity variability and fetal heart rate variability increased at 10–20 and 15–20 weeks respectively. 4.The inverse relationship between umbilical artery flow velocity and fetal heart rate at 10–15 weeks of gestation suggests that the Frank–Starling mechanism regulates cardiovascular control as early as the late first and early second trimesters of pregnancy. A different underlying mechanism is suggested for the observed variability profiles in heart rate and umbilical artery peak systolic velocity. It is speculated that heart rate variability is mediated by maturation of the parasympathetic nervous system, whereas peak systolic velocity variability reflects the activation of a haemodynamic feedback mechanism.


2019 ◽  
Vol 45 (7) ◽  
pp. 1343-1351
Author(s):  
Francesca G. Esposito ◽  
Salvatore Tagliaferri ◽  
Antonia Giudicepietro ◽  
Natascia Giuliano ◽  
Giuseppe M. Maruotti ◽  
...  

2017 ◽  
Vol 96 (11) ◽  
pp. 1322-1329 ◽  
Author(s):  
Lisa Stroux ◽  
Christopher W. Redman ◽  
Antoniya Georgieva ◽  
Stephen J. Payne ◽  
Gari D. Clifford

2007 ◽  
Vol 46 (02) ◽  
pp. 186-190 ◽  
Author(s):  
M. Signorini ◽  
G. Magenes ◽  
M. Ferrario

Summary Objectives : The intrauterine growth restriction (IUGR) is a pathological state: the fetus is at risk of hypoxia and this condition is associated with increased perinatal morbidity and mortality. However, evidence-based guidelines for clinical surveillance are poor and lack reliable indexes. This study introduces new procedures to extract parameters from the fetal heart rate signal in order to identify severe intrauterine growth restricted (IUGR) fetuses Methods : Standard parameters (time domain and frequency domain indexes) are compared to a new parameter, the Lempel Ziv complexity, and to two regularity estimators (approximate entropy and sample entropy). The paper analyzes the robustness of the indexes coming from the parameter extraction procedure. Results and Conclusions : The results show that the LZ complexity is a stable parameter and it is able to significantly discriminate the severe IUGR (preterm delivered) from moderate IUGR (at term delivered) and from healthy fetuses.


1989 ◽  
Vol 30 (3) ◽  
pp. 291-291
Author(s):  
AD Kofinas ◽  
M Espeland ◽  
M Swain ◽  
M Penry ◽  
LH Nelson

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