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Variable fetal heart decelerations

MedGen UID:
452558
Concept ID:
C0457245
Finding
Synonyms: Variable Deceleration; Variable deceleration; Variable Fetal Heart Rate Deceleration
SNOMED CT: Variable deceleration (789258006); Variable fetal heart decelerations (789258006)

Definition

An abrupt decrease in the fetal heart rate below baseline that lasts 15 seconds to less than two minutes. The decrease from baseline fetal heart rate is greater than or equal to 15 beats per minute, and the time from onset to nadir of the deceleration is less than 30 seconds. Variable fetal heart rate decelerations that are associated with successive uterine contractions commonly have varying onsets, depths, and durations. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVVariable fetal heart decelerations

Professional guidelines

PubMed

Chandraharan E, Ghi T, Fieni S, Jia YJ
Am J Obstet Gynecol 2023 Jun;228(6):645-656. doi: 10.1016/j.ajog.2022.05.014. PMID: 37270260
Brown J, Kanagaretnam D, Zen M
Aust N Z J Obstet Gynaecol 2023 Jun;63(3):278-289. Epub 2023 Mar 10 doi: 10.1111/ajo.13667. PMID: 36898674
Bailey RE
Am Fam Physician 2009 Dec 15;80(12):1388-96. PMID: 20000301

Recent clinical studies

Etiology

Chandraharan E, Ghi T, Fieni S, Jia YJ
Am J Obstet Gynecol 2023 Jun;228(6):645-656. doi: 10.1016/j.ajog.2022.05.014. PMID: 37270260
Arnold JJ, Gawrys BL
Am Fam Physician 2020 Aug 1;102(3):158-167. PMID: 32735438
Ogunyemi D, Jovanovski A, Friedman P, Sweatman B, Madan I
J Matern Fetal Neonatal Med 2019 Sep;32(18):3115-3124. Epub 2018 Apr 6 doi: 10.1080/14767058.2018.1456523. PMID: 29621921
Martí Gamboa S, Pascual Mancho J, Lapresta Moros M, Rodríguez Lázaro L, de Bonrostro Torralba C, Castán Mateo S
J Matern Fetal Neonatal Med 2017 Jan;30(2):240-244. Epub 2016 Apr 19 doi: 10.3109/14767058.2016.1169524. PMID: 27003711
Morrison EH
Am Fam Physician 1998 Nov 1;58(7):1593-604. PMID: 9824957

Diagnosis

Chóliz Ezquerro M, Savirón Cornudella R, Esteban LM, Zamora Del Pozo C, Espiau Romera A, Castán Larraz B, Castán Mateo S
J Matern Fetal Neonatal Med 2022 Dec;35(25):6466-6475. Epub 2021 May 2 doi: 10.1080/14767058.2021.1915977. PMID: 33938352
Nageotte MP
Semin Fetal Neonatal Med 2015 Jun;20(3):144-8. Epub 2015 Mar 11 doi: 10.1016/j.siny.2015.02.002. PMID: 25769203
Bailey RE
Am Fam Physician 2009 Dec 15;80(12):1388-96. PMID: 20000301
Tharmaratnam S
Baillieres Best Pract Res Clin Obstet Gynaecol 2000 Feb;14(1):155-72. doi: 10.1053/beog.1999.0069. PMID: 10789266
Morrison EH
Am Fam Physician 1998 Nov 1;58(7):1593-604. PMID: 9824957

Therapy

Riveros-Perez E, Polania-Gutierrez JJ, Avella-Molano B
BMC Pregnancy Childbirth 2023 May 22;23(1):329. doi: 10.1186/s12884-023-05632-3. PMID: 37211590Free PMC Article
Wilson DL, Fung AM, Skrzypek H, Pell G, Barnes M, Howard ME, Walker SP
J Physiol 2022 Apr;600(7):1791-1806. Epub 2022 Feb 14 doi: 10.1113/JP282528. PMID: 35060129
Raghuraman N
Semin Perinatol 2020 Mar;44(2):151217. Epub 2019 Nov 23 doi: 10.1016/j.semperi.2019.151217. PMID: 32007313
Di Tommaso M, Seravalli V, Petraglia F
Minerva Ginecol 2019 Apr;71(2):91-96. Epub 2018 Oct 11 doi: 10.23736/S0026-4784.18.04336-8. PMID: 30318881
Strong TH Jr
J Reprod Med 1995 Feb;40(2):108-14. PMID: 7738919

Prognosis

Jia YJ, Ghi T, Pereira S, Gracia Perez-Bonfils A, Chandraharan E
Am J Obstet Gynecol 2023 Jun;228(6):622-644. doi: 10.1016/j.ajog.2022.05.023. PMID: 37270259
Chóliz Ezquerro M, Savirón Cornudella R, Esteban LM, Zamora Del Pozo C, Espiau Romera A, Castán Larraz B, Castán Mateo S
J Matern Fetal Neonatal Med 2022 Dec;35(25):6466-6475. Epub 2021 May 2 doi: 10.1080/14767058.2021.1915977. PMID: 33938352
Arnold JJ, Gawrys BL
Am Fam Physician 2020 Aug 1;102(3):158-167. PMID: 32735438
Nageotte MP
Semin Fetal Neonatal Med 2015 Jun;20(3):144-8. Epub 2015 Mar 11 doi: 10.1016/j.siny.2015.02.002. PMID: 25769203
Bailey RE
Am Fam Physician 2009 Dec 15;80(12):1388-96. PMID: 20000301

Clinical prediction guides

Jia YJ, Ghi T, Pereira S, Gracia Perez-Bonfils A, Chandraharan E
Am J Obstet Gynecol 2023 Jun;228(6):622-644. doi: 10.1016/j.ajog.2022.05.023. PMID: 37270259
Tournier A, Beacom M, Westgate JA, Bennet L, Garabedian C, Ugwumadu A, Gunn AJ, Lear CA
J Physiol 2022 Feb;600(3):431-450. Epub 2022 Jan 17 doi: 10.1113/JP282276. PMID: 34951476
Chóliz Ezquerro M, Savirón Cornudella R, Esteban LM, Zamora Del Pozo C, Espiau Romera A, Castán Larraz B, Castán Mateo S
J Matern Fetal Neonatal Med 2022 Dec;35(25):6466-6475. Epub 2021 May 2 doi: 10.1080/14767058.2021.1915977. PMID: 33938352
Hurtado-Sánchez MF, Pérez-Melero D, Pinto-Ibáñez A, González-Mesa E, Mozas-Moreno J, Puertas-Prieto A
Medicina (Kaunas) 2021 May 25;57(6) doi: 10.3390/medicina57060528. PMID: 34070249Free PMC Article
Arnold JJ, Gawrys BL
Am Fam Physician 2020 Aug 1;102(3):158-167. PMID: 32735438

Recent systematic reviews

Brown J, Kanagaretnam D, Zen M
Aust N Z J Obstet Gynaecol 2023 Jun;63(3):278-289. Epub 2023 Mar 10 doi: 10.1111/ajo.13667. PMID: 36898674
Nensi A, De Silva DA, von Dadelszen P, Sawchuck D, Synnes AR, Crane J, Magee LA; MAG-CP Collaborative Group (Appendix 1)
J Obstet Gynaecol Can 2014 Dec;36(12):1055-1064. doi: 10.1016/S1701-2163(15)30382-0. PMID: 25668040
Hofmeyr GJ, Lawrie TA
Cochrane Database Syst Rev 2012 Jan 18;1(1):CD000013. doi: 10.1002/14651858.CD000013.pub2. PMID: 22258939Free PMC Article
Hofmeyr GJ
Cochrane Database Syst Rev 2009 Jan 21;(1):CD000014. doi: 10.1002/14651858.CD000014.pub2. PMID: 19160173
Hofmeyr GJ
Cochrane Database Syst Rev 2000;(2):CD000014. doi: 10.1002/14651858.CD000014. PMID: 10796085

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