Spectral analysis of fetal heart rate variability for fetal surveillance: Review of the literature

Acta Obstetricia et Gynecologica Scandinavica

Volumn 87, Issue 3, 2008, Pages 300-306

  Van Laar, J O E H ^a   Porath, M M ^a   Peters, C H L ^a   Oei, S G ^a  

^a MÁXIMA MEDICAL CENTER   (Netherlands)

Author keywords

Fetal distress; Fetal monitoring; Fetal surveillance; Heart rate variability; Spectral analysis

Indexed keywords

ARTICLE; BLOOD GAS ANALYSIS; FETUS DISTRESS; FETUS HEART RATE; FETUS HYPOXIA; HEALTH SURVEY; HEART RATE VARIABILITY; HUMAN; INFORMATION PROCESSING; INTRAPARTUM CARE; MEDICAL LITERATURE; MEDICAL RESEARCH; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PUERPERIUM; RESPIRATORY ACIDOSIS; SENSITIVITY AND SPECIFICITY; SPECTROSCOPY; UMBILICAL CORD;

ACIDOSIS; ANOXIA; BLOOD GAS ANALYSIS; COHORT STUDIES; FEMALE; FETAL MONITORING; FETUS; HEART RATE, FETAL; HUMANS; INFANT, NEWBORN; PREGNANCY; PRENATAL DIAGNOSIS; SPECTRUM ANALYSIS; UMBILICAL CORD;

EID: 39849098255     PISSN: 00016349     EISSN: 16000412     Source Type: Journal    
DOI: 10.1080/00016340801898950     Document Type: Article

References (38)

1. de Haan M, Wyatt JS, Roth S, Vargha-Khadem F, Gadian D, Mishkin M. Brain and cognitive-behavioural development after asphyxia at term birth. Dev Sci. 2006;9:350-8.
2. Victory R, Penava D, da Silva O, Natale R, Richardson B. Umbilical cord pH and base excess values in relation to adverse outcome events for infants delivering at term. Am J Obstet Gynecol. 2004;191:2021-8.
3. Martin-Ancel A, Garcia-Alix A, Gaya F, Cabanas F, Burgueros M, Quero J. Multiple organ involvement in perinatal asphyxia. J Pediatr. 1995;127:786-93.
4. Nielsen PV, Stigsby B, Nickelsen C, Nim J. Intra- and interobserver variability in the assessment of intrapartum cardiotocograms. Acta Obstet Gynecol Scand. 1987;66:421-4.
5. Alfirevic Z, Devane D, Gyte GML. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour (Review). Cochrane Database Syst Rev.; 2006, Issue 3.
6. Dawes GS, Moulden M, Redman CWG. The advantages of computerized fetal heart rate analysis. J Perinat Med. 1991;19:39-45.
7. Paul RH, Suidan AK, Yeh SY, Schifrin BS, Hon EH. Clinical fetal monitoring. VII. The evaluation and significance of intrapartum baseline FHR variability. Am J Obstet Gynecol. 1975;123:206-10.
8. Rochard F, Schifrin BS, Goupil F, Legrand H, Blottiere J, Sureau C. Nonstressed fetal heart rate monitoring in the antepartum period. Am J Obstet Gynecol. 1976;126:699-706.
9. van Ravenswaaij-Arts CMA, Kollee LAA, Hopman JCW, Stoelinga GBA, van Geijn HP. Heart rate variability. Ann Intern Med. 1993;118:436-47.
10. Akselrod S, Gordon D, Ubel FA, Shannon DC, Barger AC, Cohen RJ. Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science. 1981;213:220-2.
11. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation. 1996;93:1043-65.
12. Cerutti S, Civardi S, Bianchi A, Signorini MG, Ferrazzi E, Pardi G. Spectral analysis of antepartum heart rate variability. Clin Phys Physiol Meas. 1989;10:27-31.
13. Siira SM, Ojala TH, Vahlberg TJ, Jalonen JO, Valimaki IA, Rosen KG, et al. Marked fetal acidosis and specific changes in power spectrum analysis of fetal heart rate variability recorded during the last hour of labour. BJOG. 2005;112:418-23.
14. Suzuki T, Kimura Y, Murotsuki J, Murakami T, Uehara S, Okamura K. Detection of a biorhythm of human fetal autonomic nervous activity by a power spectral analysis. Am J Obstet Gynecol. 2001;185:1247-52.
15. Chung DY, Sim YB, Park KT, Yi SH, Shin JC, Kim SP. Spectral analysis of fetal heart rate variability as a predictor of intrapartum fetal distress. Int J Gynaecol Obstet. 2001;73:109-16.
16. Ohta T, Okamura K, Kimura Y, Suzuki T, Watanabe T, Yasui T, et al. Alteration in the low-frequency domain in power spectral analysis of fetal heart beat fluctuations. Fetal Diagn Ther. 1999;14:92-7.
17. Rantonen T, Ekholm E, Siira S, Metsalla T, Leino R, Ekblad U, et al. Periodic spectral components of fetal heart rate variability reflect the changes in cord arterial base deficit values: a preliminary report. Early Hum Dev. 2001;60:233-8.
18. Salamalekis E, Hintipas E, Salloum I, Vasios G, Loghis C, Vitoratos N, et al. Computerized analysis of fetal heart rate variability using the matching persuit technique as an indicator of fetal hypoxia during labor. J Matern Fetal Neonatal Med. 2006;19:165-9.
19. Peters CHL, ten Broeke EDM, Andriessen P, Vermeulen B, Berendsen RCM, Wijn PFF, et al. Beat-to-beat detection of fetal heart rate: Doppler ultrasound cardiotocography compared to direct ECG cardiotocography in time and frequency domain. Physiol Meas. 2004;25:585-93.
20. Low JA, Lindsay BG, Derrick EJ. Threshold of metabolic acidosis associated with newborn complications. Am J Obstet Gynecol. 1997;177:1391-4.
21. Yu ZY, Lumbers ER, Gibson KJ, Stevens AD. Effects of hypoxaemia on foetal heart rate, variability and cardiac rhythm. Clin Exp Pharmacol Physiol. 1998;25:577-84.
22. Dalton KJ, Dawes GS, Patrick JE. Diurnal, respiratory, and other rhythms of fetal heart rate in lambs. Am J Obstet Gynecol. 1977;127:414-24.
23. Goldaber KG, Gilstrap LC, Leveno KJ, Dax JS, McIntire DD. Pathologic fetal acidemia. Obstet Gynecol. 1991;78:1103-7.
24. Siggaard-Andersen O. An acid-base chart for arterial blood with normal and pathophysiological reference areas. Scand J Clin Lab Invest. 1971;27:239-45.
25. Min SW, Ko H, Kim CS. Power spectral analysis of heart rate variability during acute hypoxia in fetal lambs. Acta Obstet Gynecol Scand. 2002;81:1001-5.
26. Romano M, Bifulco P, Cesarelli M, Sansone M, Bracale M. Foetal heart rate power spectrum response to uterine contraction. Med Biol Eng Comput. 2006;44:188-201.
27. Assali NS, Brinkman CR, Woods JR, Dandavino A, Nuwayhid B. Development of neurohumoral control of fetal, neonatal and adult cardiovascular functions. Am J Obstet Gynecol. 1977;129:748-59.
28. Perel P, Roberts I, Sena E, Wheble P, Briscoe C, Sandercock P, et al. Comparison of treatment effects between animal experiments and clinical trials: systematic review. BMJ. 2006;334:197-200.
29. Siira S, Ojala T, Ekholm E, Vahlberg T, Blad S, Rosen KG. Change in heart rate variability in relation to a significant ST-event associates with newborn acidosis. BJOG. 2007;114:819-23.
30. Pincus SM, Viscarello RR. Approximate entropy: a regularity measure for fetal heart rate analysis. Obstet Gynecol. 1992;79:249-55.
31. Li X, Zheng D, Zhou S, Tang D, Wang C, Wu G. Approximate entropy of fetal heart rate variability as a predictor of fetal distress in women at term pregnancy. Acta Obstet Gynecol Scand. 2005;84:837-43.
32. Malliani A, Lombardi F, Pagani M. Power spectrum analysis of heart rate variability: a tool to explore neural regulatory mechanisms. Br Heart J. 1994;71:1-2.
33. Li X, Tang D, Zhou S, Zhou G, Wang C, Zhuang Y, et al. Redistribution of power spectrum of heart rate variability during acute umbilical artery embolism and hypoxemia in late-gestation fetal sheep. Eur J Obstet Gynecol Reprod Biol. 2004;114:137-43.
34. Oppenheimer L, Gruslin A, Mc Donald D, Dabrowski AR, Lachapelle S. Power spectral analysis (PSA) of fetal heart rate (FHR) in labor. Am J Obstet Gynecol. 1993;168:342.
35. Divon MY, Winkler H, Yeh SY, Platt LD, Langer O, Merkatz IR. Diminished respiratory sinus arrhythmia in asphyxiated term infants. Am J Obstet Gynecol. 1986;155:1263-6.
36. Malliani A, Montano N. Current perspective. Heart rate variability as a clinical tool. Ital Heart J. 2002;3:439-45.
37. Davidson SR, Rankin JHG, Martin CB, Reid DL. Fetal heart rate variability and behavioral state: analysis by power spectrum. Am J Obstet Gynecol. 1992;167:717-22.
38. van Leeuwen P, Geue D, Lange S, Hatzmann W, Grönemeyer D. Changes in the frequency power spectrum of fetal heart rate in the course of pregnancy. Prenat Diagn. 2003;23:909-16.