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Cardiotocography pattern: not always a true friend.
Aquino, Carmen Imma; Amadori, Roberta; Vaianella, Elisabetta; Bonassisa, Silvia; Libretti, Alessandro; Surico, Daniela; Remorgida, Valentino.
Affiliation
  • Aquino CI; Department of Gynaecology and Obstetrics, University of Piemonte Orientale, Ospedale Maggiore della Carità, Novara, Italy. 20033548@studenti.uniupo.it.
  • Amadori R; Department of Gynaecology and Obstetrics, University of Piemonte Orientale, Ospedale Maggiore della Carità, Novara, Italy. roberta.amadori@uniupo.it.
  • Vaianella E; Department of Gynaecology and Obstetrics, University of Piemonte Orientale, Ospedale Maggiore della Carità, Novara, Italy. elisabetta.vaianella@maggioreosp.novara.it.
  • Bonassisa S; Department of Gynaecology and Obstetrics, University of Piemonte Orientale, Ospedale Maggiore della Carità, Novara, Italy. silvia.bonassisa@edu.unito.it.
  • Libretti A; Department of Gynaecology and Obstetrics, University of Piemonte Orientale, Ospedale Maggiore della Carità, Novara, Italy. libretti.a@gmail.com.
  • Surico D; Department of Gynaecology and Obstetrics, University of Piemonte Orientale, Ospedale Maggiore della Carità, Novara, Italy. daniela.surico@med.uniupo.it.
  • Remorgida V; Department of Gynaecology and Obstetrics, University of Piemonte Orientale, Ospedale Maggiore della Carità, Novara, Italy. valentino.remorgida@uniupo.it.
Acta Biomed ; 94(S1): e2023054, 2023 02 13.
Article in En | MEDLINE | ID: mdl-36779935
ABSTRACT
Fetal well-being in labor could be assessed trough cardiotocography (CTG). Some doubts have been raised about its unequivocal applicability. Pathological CTG is in most cases connected to fetal acidosis at birth, but other potential causes must be considered in the differential diagnosis. A 31-years-old G2P1 patient referred to our Department of Obstetrics and Gynecology for her scheduled post-term CTG at 40 weeks and 3 days of gestation. The pregnancy was uneventful. CTG was classified as suspicious, and after pharmacological induction, it switched as pathological an emergency cesarean section was performed. Venous and arterial blood sample taken from the umbilical cord were normal. The next assessments revealed that Atrial Flutter (AFL) occurred at birth. Suspicious CTG is not always associated to neonatal asphyxia. Cardiotocography can help not only in the evaluation of fetal distress, but also in the assessment of global fetal cardiac activity. The presence of a fetal heart defect should be considered when CTG is suspicious.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Acidosis / Cardiotocography Type of study: Diagnostic_studies Limits: Adult / Female / Humans / Newborn / Pregnancy Language: En Journal: Acta Biomed Journal subject: MEDICINA Year: 2023 Document type: Article Affiliation country: Italia

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Acidosis / Cardiotocography Type of study: Diagnostic_studies Limits: Adult / Female / Humans / Newborn / Pregnancy Language: En Journal: Acta Biomed Journal subject: MEDICINA Year: 2023 Document type: Article Affiliation country: Italia