Atypical variable deceleration in the first stage of labor is a characteristic fetal heart-rate pattern for velamentous cord insertion and hypercoiled cord

Journal of Obstetrics and Gynaecology Research

Volumn 35, Issue 1, 2009, Pages 35-39

  Hasegawa, Junichi ^a   Matsuoka, Ryu ^a   Ichizuka, Kiyotake ^a   Kotani, Mihoko ^a   Nakamura, Masamitsu ^a   Mikoshiba, Takao ^a   Sekizawa, Akihiko ^a   Okai, Takashi ^a  

^a SHOWA UNIVERSITY SCHOOL OF MEDICINE   (Japan)

Author keywords

Atypical variable deceleration; Hypercoiled cord; Nuchal cord; Variable deceleration; Velamentous cord insertion

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; DECELERATION; FEMALE; FETUS HEART RATE; HUMAN; HYPERCOILED CORD; LABOR INDUCTION; LABOR STAGE 1; LABOR STAGE 2; MAJOR CLINICAL STUDY; NUCHAL CORD; UMBILICAL MALFORMATION; UTERUS CONTRACTILITY; VELAMENTOUS CORD INSERTION;

ADULT; COHORT STUDIES; FEMALE; HEART RATE, FETAL; HUMANS; INFANT, NEWBORN; PREGNANCY; RETROSPECTIVE STUDIES; UMBILICAL CORD; UTERINE CONTRACTION;

EID: 58849134962     PISSN: 13418076     EISSN: 14470756     Source Type: Journal    
DOI: 10.1111/j.1447-0756.2008.00863.x     Document Type: Article

References (18)

1. Bruce S, James LS, Bowe E, Rey H, Shamsi H. Umbilical cord complications as a cause of perinatal morbidity and mortality. J Perinat Med 1978 6 : 89 94.
2. Paul RH, Hon EH. Clinical fetal monitoring. V. Effect on perinatal outcome. Am J Obstet Gynecol 1974 118 : 529 533.
3. Ball RH, Parer JT. The physiologic mechanisms of variable decelerations. Am J Obstet Gynecol 1992 166 : 1683 1688 discussion 1688 1689.
4. Krebs HB, Petres RE, Dunn LJ. Intrapartum fetal heart rate monitoring. VIII. Atypical variable decelerations. Am J Obstet Gynecol 1983 145 : 297 305.
5. Strong TH Jr., Jarles DL, Vega JS, Feldman DB. The umbilical coiling index. Am J Obstet Gynecol 1994 170 : 29 32.
6. National Institute of Child Health and Human Development Research Planning Workshop. Electronic fetal heart rate monitoring: research guidelines for interpretation. Am J Obstet Gynecol 1997 177 : 1385 1390.
7. Heinonen S, Ryynanen M, Kirkinen P, Saarikoski S. Perinatal diagnostic evaluation of velamentous umbilical cord insertion: clinical, Doppler, and ultrasonic findings. Obstet Gynecol 1996 87 : 112 117.
8. Eddleman KA, Lockwood CJ, Berkowitz GS, Lapinski RH, Berkowitz RL. Clinical significance and sonographic diagnosis of velamentous umbilical cord insertion. Am J Perinatol 1992 9 : 123 126.
9. Hasegawa J, Matsuoka R, Ichizuka K, Sekizawa A, Farina A, Okai T. Velamentous cord insertion into the lower third of the uterus is associated with intrapartum fetal heart rate abnormalities. Ultrasound Obstet Gynecol 2006 27 : 425 429.
10. Predanic M, Perni SC, Chasen ST, Baergen RN, Chervenak FA. Ultrasound evaluation of abnormal umbilical cord coiling in second trimester of gestation in association with adverse pregnancy outcome. Am J Obstet Gynecol 2005 193 : 387 394.
11. Strong TH Jr., Elliott JP, Radin TG. Non-coiled umbilical blood vessels: a new marker for the fetus at risk. Obstet Gynecol 1993 81 : 409 411.
12. Ezimokhai M, Rizk DE, Thomas L. Maternal risk factors for abnormal vascular coiling of the umbilical cord. Am J Perinatol 2000 17 : 441 445.
13. de Laat MW, Franx A, Bots ML, Visser GH, Nikkels PG. Umbilical coiling index in normal and complicated pregnancies. Obstet Gynecol 2006 107 : 1049 1055.
14. Sheiner E, Abramowicz JS, Levy A, Silberstein T, Mazor M, Hershkovitz R. Nuchal cord is not associated with adverse perinatal outcome. Arch Gynecol Obstet 2006 274 : 81 83.
15. Lee CY, Di Loreto PC, O'Lane JM. A study of fetal heart rate acceleration patterns. Obstet Gynecol 1975 45 : 142 146.
16. Hasegawa J, Matsuoka R, Ichizuka K, Sekizawa A, Okai T. Velamentous cord insertion: significance of prenatal detection to predict perinatal complications. Taiwan J Obstet Gynecol 2006 45 : 21 25.
17. Hasegawa J, Matsuoka R, Ichizuka K, Sekizawa A, Farina A, Okai T. Velamentous cord insertion and atypical variable decelerations with no accelerations. Int J Gynaecol Obstet 2005 90 : 26 30.
18. Rana J, Ebert GA, Kappy KA. Adverse perinatal outcome in patients with an abnormal umbilical coiling index. Obstet Gynecol 1995 85 : 573 577.