About: Fetal heart rate changes on the cardiotocograph trace secondary to maternal COVID-19 infection

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About: Fetal heart rate changes on the cardiotocograph trace secondary to maternal COVID-19 infection Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Fetal heart rate changes on the cardiotocograph trace secondary to maternal COVID-19 infection
Creator	Chandraharan, Edwin Gracia-Perez-Bonfils, Anna Llurba, Elisa Martinez-Perez, Oscar First, M Gracia Pérez-Bonfils, Anna Gracia-Perez-Bonfils, Mrs
Source	Elsevier; Medline; PMC
abstract	OBJECTIVE: To determine the cardiotocograph (CTG) changes in women with symptomatic COVID-19 infection. STUDY DESIGN: 12 anonymised CTG traces from 2 hospitals in Spain were retrospectively analysed by 2 independent assessors. CTG parameters were studied based on fetal pathophysiological responses to inflammation and hypoxia that would be expected based on the pathogenesis of COVID-19 patients. Correlation was made with perinatal outcomes (Apgar score at 5 min and umbilical cord pH). RESULTS: All fetuses showed an increased baseline FHR > 10 percent compared to the initial recording, in addition to absence of accelerations. 10 out of 12 CTG traces (83.3 percent) demonstrated late or prolonged decelerations and 7 out of 12 fetuses (58.3 percent) showed absence of cycling. Not a single case of sinusoidal pattern was observed. ZigZag pattern was found in 4 CTG traces (33 percent). Excessive uterine activity was observed in all CTG traces where uterine activity was monitored (10 out of 12). Apgar scores at 5 min were normal (>7) and absence of metabolic acidosis was found in the umbilical cord arterial pH (pH > 7.0) in the cases that were available (11 and 9, respectively). CONCLUSION: Fetuses of COVID-19 patients showed a raised baseline FHR (>10 percent), loss of accelerations, late decelerations, ZigZag pattern and absence of cycling probably due to the effects of maternal pyrexia, maternal inflammatory response and the “cytokine storm”. However, the perinatal outcomes appear to be favourable. Therefore, healthcare providers should optimise the maternal environment first to rectify the reactive CTG changes instead of performing an urgent operative intervention.
has issue date	2020-07-02(xsd:dateTime)
bibo:doi	10.1016/j.ejogrb.2020.06.049
bibo:pmid	32645644
has license	no-cc
sha1sum (hex)	6625c2934436b9f8b1dfb27a86a9fc506c0920ab
schema:url	https://doi.org/10.1016/j.ejogrb.2020.06.049
resource representing a document's title	Fetal heart rate changes on the cardiotocograph trace secondary to maternal COVID-19 infection
has PubMed Central identifier	PMC7331544
has PubMed identifier	32645644
schema:publication	Eur J Obstet Gynecol Reprod Biol
resource representing a document's body	covid:6625c2934436b9f8b1dfb27a86a9fc506c0920ab#body_text
is schema:about of	named entity 'inflammatory response' named entity 'maternal' named entity 'MATERNAL' named entity 'RAISED' covid:arg/6625c2934436b9f8b1dfb27a86a9fc506c0920ab named entity 'baseline' named entity 'decelerations' named entity 'COVID' named entity 'COVID' named entity 'clinical application' named entity 'muscle activity' named entity 'neonatal' named entity 'autonomic instability' named entity 'fever' named entity 'IL-18' named entity 'FHR' named entity 'fetal' named entity 'uterine' named entity 'APTT' named entity 'pyrexia' named entity 'perinatal' named entity 'TNF-a' named entity 'myocardium' named entity 'oxygen consumption' named entity 'CXCL10' named entity 'neonatal' named entity 'placenta' named entity 'myocardium' named entity 'pyrexia' named entity 'inflammatory response' named entity 'fetal' named entity 'CTG' named entity 'placental' named entity 'immunological response' named entity 'cytokine storm' named entity 'infection' named entity 'hypercoagulability' named entity 'infection' named entity 'thrombosis' named entity 'SARS-CoV-2' named entity 'neonatal' named entity 'cytokine storm' named entity 'hypoxia' named entity 'morbidity' named entity 'inflammatory mediators' named entity 'bpm' named entity 'COVID-19' named entity 'secretion' named entity 'CTG' named entity 'inflammatory response' named entity 'infection' named entity 'multi-organ failure' named entity 'autonomic' named entity 'COVID' named entity 'uterine' named entity 'FIGO' named entity 'FDP' named entity 'inflammatory response' named entity 'myometrium' named entity 'pregnant women' named entity 'sympathetic response' named entity 'anaemia' named entity 'CTG' named entity 'pyrexia' named entity 'COVID' named entity 'placental' named entity 'irritability' named entity 'CTG' named entity 'pyrexia' named entity 'personal relationships' named entity 'venous thrombosis' named entity 'COVID-19' named entity 'placental' named entity 'CTG' named entity 'CTG'

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