Prolonged fetal bradycardia secondary to maternal hypothermia in response to urosepsis

Gary Hankins, Terry Leicht, James W. Van Hook

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Fetal bradycardia is a well-known response to maternal hypothermia, as induced at open-heart surgery, but heretofore has not been reported in conjunction with hypothermia from urosepsis. A 24-year-old Vietnamese woman admitted at 33 weeks estimated gestational age with pyelonephritis secondary to Escherichia coli developed several episodes of maternal hypothermia to 35- 36°C. During each episode of maternal hypothermia, the baseline fetal heart rate fell to 90-100 bpm, but with retained reactivity. During each episode, maternal vital signs were otherwise stable and oxygen saturation was normal as measured by pulse oximetry. Interpretation of fetal bradycardia during episodes of maternal urosepsis is complex. If seen in conjunction with maternal hypothermia, and in the presence of normal maternal cardiac and respiratory function, bradycardia is unlikely to represent fetal distress.

Original languageEnglish (US)
Pages (from-to)217-219
Number of pages3
JournalAmerican Journal of Perinatology
Volume14
Issue number4
StatePublished - Apr 1997

Fingerprint

Bradycardia
Hypothermia
Mothers
Induced Hypothermia
Fetal Distress
Fetal Heart Rate
Oximetry
Vital Signs
Pyelonephritis
Thoracic Surgery
Gestational Age
Oxygen
Escherichia coli

Keywords

  • fetal bradycardia
  • Hypothermia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Prolonged fetal bradycardia secondary to maternal hypothermia in response to urosepsis. / Hankins, Gary; Leicht, Terry; Van Hook, James W.

In: American Journal of Perinatology, Vol. 14, No. 4, 04.1997, p. 217-219.

Research output: Contribution to journalArticle

Hankins, Gary ; Leicht, Terry ; Van Hook, James W. / Prolonged fetal bradycardia secondary to maternal hypothermia in response to urosepsis. In: American Journal of Perinatology. 1997 ; Vol. 14, No. 4. pp. 217-219.
@article{06d1bd7b3f644100b0ff3950b6961f75,
title = "Prolonged fetal bradycardia secondary to maternal hypothermia in response to urosepsis",
abstract = "Fetal bradycardia is a well-known response to maternal hypothermia, as induced at open-heart surgery, but heretofore has not been reported in conjunction with hypothermia from urosepsis. A 24-year-old Vietnamese woman admitted at 33 weeks estimated gestational age with pyelonephritis secondary to Escherichia coli developed several episodes of maternal hypothermia to 35- 36°C. During each episode of maternal hypothermia, the baseline fetal heart rate fell to 90-100 bpm, but with retained reactivity. During each episode, maternal vital signs were otherwise stable and oxygen saturation was normal as measured by pulse oximetry. Interpretation of fetal bradycardia during episodes of maternal urosepsis is complex. If seen in conjunction with maternal hypothermia, and in the presence of normal maternal cardiac and respiratory function, bradycardia is unlikely to represent fetal distress.",
keywords = "fetal bradycardia, Hypothermia",
author = "Gary Hankins and Terry Leicht and {Van Hook}, {James W.}",
year = "1997",
month = "4",
language = "English (US)",
volume = "14",
pages = "217--219",
journal = "American Journal of Perinatology",
issn = "0735-1631",
publisher = "Thieme Medical Publishers",
number = "4",

}

TY - JOUR

T1 - Prolonged fetal bradycardia secondary to maternal hypothermia in response to urosepsis

AU - Hankins, Gary

AU - Leicht, Terry

AU - Van Hook, James W.

PY - 1997/4

Y1 - 1997/4

N2 - Fetal bradycardia is a well-known response to maternal hypothermia, as induced at open-heart surgery, but heretofore has not been reported in conjunction with hypothermia from urosepsis. A 24-year-old Vietnamese woman admitted at 33 weeks estimated gestational age with pyelonephritis secondary to Escherichia coli developed several episodes of maternal hypothermia to 35- 36°C. During each episode of maternal hypothermia, the baseline fetal heart rate fell to 90-100 bpm, but with retained reactivity. During each episode, maternal vital signs were otherwise stable and oxygen saturation was normal as measured by pulse oximetry. Interpretation of fetal bradycardia during episodes of maternal urosepsis is complex. If seen in conjunction with maternal hypothermia, and in the presence of normal maternal cardiac and respiratory function, bradycardia is unlikely to represent fetal distress.

AB - Fetal bradycardia is a well-known response to maternal hypothermia, as induced at open-heart surgery, but heretofore has not been reported in conjunction with hypothermia from urosepsis. A 24-year-old Vietnamese woman admitted at 33 weeks estimated gestational age with pyelonephritis secondary to Escherichia coli developed several episodes of maternal hypothermia to 35- 36°C. During each episode of maternal hypothermia, the baseline fetal heart rate fell to 90-100 bpm, but with retained reactivity. During each episode, maternal vital signs were otherwise stable and oxygen saturation was normal as measured by pulse oximetry. Interpretation of fetal bradycardia during episodes of maternal urosepsis is complex. If seen in conjunction with maternal hypothermia, and in the presence of normal maternal cardiac and respiratory function, bradycardia is unlikely to represent fetal distress.

KW - fetal bradycardia

KW - Hypothermia

UR - http://www.scopus.com/inward/record.url?scp=0030900166&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030900166&partnerID=8YFLogxK

M3 - Article

C2 - 9259931

AN - SCOPUS:0030900166

VL - 14

SP - 217

EP - 219

JO - American Journal of Perinatology

JF - American Journal of Perinatology

SN - 0735-1631

IS - 4

ER -