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Early fetal heart deceleration

MedGen UID:
607343
•Concept ID:
C0429481
•
Finding
Synonyms: Early Deceleration; Early Fetal Heart Rate Deceleration; Early foetal heart deceleration; Type 1 dip
SNOMED CT: Early foetal heart deceleration (251674005); Type 1 dip (251674005); Early fetal heart deceleration (251674005)

Definition

A gradual decrease in the fetal heart rate and return to baseline that is associated with a uterine contraction. The nadir of the deceleration occurs at the same time as the peak of the uterine contraction, and the time from onset to nadir of the deceleration is greater than or equal to 30 seconds. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVEarly fetal heart deceleration

Professional guidelines

PubMed

Diagnostic accuracy of fetal heart rate monitoring in the identification of neonatal encephalopathy.
Graham EM, Adami RR, McKenney SL, Jennings JM, Burd I, Witter FR
Obstet Gynecol 2014 Sep;124(3):507-513. doi: 10.1097/AOG.0000000000000424. PMID: 25162250Free PMC Article
Diagnosis and management of intrapartum fetal distress.
van Geijn HP, Copray FJ, Donkers DK, Bos MH
Eur J Obstet Gynecol Reprod Biol 1991 Dec;42 Suppl:S63-72. PMID: 1809612

Recent clinical studies

Etiology

Improving the interpretation of electronic fetal monitoring: the fetal reserve index.
Evans MI, Britt DW, Evans SM, Devoe LD
Am J Obstet Gynecol 2023 May;228(5S):S1129-S1143. Epub 2023 Mar 17 doi: 10.1016/j.ajog.2022.11.1275. PMID: 37164491
Fetal heart rate patterns in labor and the risk of neonatal encephalopathy: A case control study.
Reynolds AJ, Murray ML, Geary MP, Ater SB, Hayes BC
Eur J Obstet Gynecol Reprod Biol 2022 Jun;273:69-74. Epub 2022 Apr 23 doi: 10.1016/j.ejogrb.2022.04.021. PMID: 35504116
Interventions for Intrapartum Fetal Heart Rate Abnormalities.
Eller AG
Clin Obstet Gynecol 2020 Sep;63(3):635-644. doi: 10.1097/GRF.0000000000000552. PMID: 32732505
Computerized fetal heart rate analysis in early preterm fetal growth restriction.
Wolf H, Gordijn SJ, Onland W, Vliegenthart RJS, Ganzevoort JW
Ultrasound Obstet Gynecol 2020 Jul;56(1):51-60. doi: 10.1002/uog.21887. PMID: 31605504
Predictive monitoring for sepsis and necrotizing enterocolitis to prevent shock.
Sullivan BA, Fairchild KD
Semin Fetal Neonatal Med 2015 Aug;20(4):255-61. Epub 2015 Mar 29 doi: 10.1016/j.siny.2015.03.006. PMID: 25823938

Diagnosis

Improving the interpretation of electronic fetal monitoring: the fetal reserve index.
Evans MI, Britt DW, Evans SM, Devoe LD
Am J Obstet Gynecol 2023 May;228(5S):S1129-S1143. Epub 2023 Mar 17 doi: 10.1016/j.ajog.2022.11.1275. PMID: 37164491
Fetal heart rate patterns in labor and the risk of neonatal encephalopathy: A case control study.
Reynolds AJ, Murray ML, Geary MP, Ater SB, Hayes BC
Eur J Obstet Gynecol Reprod Biol 2022 Jun;273:69-74. Epub 2022 Apr 23 doi: 10.1016/j.ejogrb.2022.04.021. PMID: 35504116
Interventions for Intrapartum Fetal Heart Rate Abnormalities.
Eller AG
Clin Obstet Gynecol 2020 Sep;63(3):635-644. doi: 10.1097/GRF.0000000000000552. PMID: 32732505
Predictive monitoring for sepsis and necrotizing enterocolitis to prevent shock.
Sullivan BA, Fairchild KD
Semin Fetal Neonatal Med 2015 Aug;20(4):255-61. Epub 2015 Mar 29 doi: 10.1016/j.siny.2015.03.006. PMID: 25823938
Face presentation.
Schwartz Z, Dgani R, Lancet M, Kessler I
Aust N Z J Obstet Gynaecol 1986 Aug;26(3):172-6. doi: 10.1111/j.1479-828x.1986.tb01560.x. PMID: 3468936

Therapy

Fetal heart rate patterns and the incidence of adverse events after oral misoprostol administration for cervical ripening among low-risk pregnancies.
Kandahari N, Tucker LS, Schneider AN, Raine-Bennett TR, Mohta VJ
J Matern Fetal Neonatal Med 2023 Dec;36(1):2199344. doi: 10.1080/14767058.2023.2199344. PMID: 37031970
Perinatal and 2-year neurodevelopmental outcome in late preterm fetal compromise: the TRUFFLE 2 randomised trial protocol.
Mylrea-Foley B, Thornton JG, Mullins E, Marlow N, Hecher K, Ammari C, Arabin B, Berger A, Bergman E, Bhide A, Bilardo C, Binder J, Breeze A, Brodszki J, Calda P, Cannings-John R, Černý A, Cesari E, Cetin I, Dall'Asta A, Diemert A, Ebbing C, Eggebø T, Fantasia I, Ferrazzi E, Frusca T, Ghi T, Goodier J, Greimel P, Gyselaers W, Hassan W, Von Kaisenberg C, Kholin A, Klaritsch P, Krofta L, Lindgren P, Lobmaier S, Marsal K, Maruotti GM, Mecacci F, Myklestad K, Napolitano R, Ostermayer E, Papageorghiou A, Potter C, Prefumo F, Raio L, Richter J, Sande RK, Schlembach D, Schleußner E, Stampalija T, Thilaganathan B, Townson J, Valensise H, Visser GH, Wee L, Wolf H, Lees CC; TRUFFLE 2 Collaborators List
BMJ Open 2022 Apr 15;12(4):e055543. doi: 10.1136/bmjopen-2021-055543. PMID: 35428631Free PMC Article
Predictive monitoring for sepsis and necrotizing enterocolitis to prevent shock.
Sullivan BA, Fairchild KD
Semin Fetal Neonatal Med 2015 Aug;20(4):255-61. Epub 2015 Mar 29 doi: 10.1016/j.siny.2015.03.006. PMID: 25823938
Magnesium supplementation in pregnancy.
Makrides M, Crosby DD, Bain E, Crowther CA
Cochrane Database Syst Rev 2014 Apr 3;2014(4):CD000937. doi: 10.1002/14651858.CD000937.pub2. PMID: 24696187Free PMC Article
Heart rate characteristics: physiomarkers for detection of late-onset neonatal sepsis.
Fairchild KD, O'Shea TM
Clin Perinatol 2010 Sep;37(3):581-98. doi: 10.1016/j.clp.2010.06.002. PMID: 20813272Free PMC Article

Prognosis

Improving the interpretation of electronic fetal monitoring: the fetal reserve index.
Evans MI, Britt DW, Evans SM, Devoe LD
Am J Obstet Gynecol 2023 May;228(5S):S1129-S1143. Epub 2023 Mar 17 doi: 10.1016/j.ajog.2022.11.1275. PMID: 37164491
Diastolic deceleration area in the fetal MCA: a new Doppler parameter.
Ignatov PN, Neykova KK, Yordanova-Ignatova T
J Matern Fetal Neonatal Med 2023 Dec;36(1):2206939. doi: 10.1080/14767058.2023.2206939. PMID: 37121906
Fetal heart rate patterns in labor and the risk of neonatal encephalopathy: A case control study.
Reynolds AJ, Murray ML, Geary MP, Ater SB, Hayes BC
Eur J Obstet Gynecol Reprod Biol 2022 Jun;273:69-74. Epub 2022 Apr 23 doi: 10.1016/j.ejogrb.2022.04.021. PMID: 35504116
Predictive monitoring for sepsis and necrotizing enterocolitis to prevent shock.
Sullivan BA, Fairchild KD
Semin Fetal Neonatal Med 2015 Aug;20(4):255-61. Epub 2015 Mar 29 doi: 10.1016/j.siny.2015.03.006. PMID: 25823938
Magnesium supplementation in pregnancy.
Makrides M, Crosby DD, Bain E, Crowther CA
Cochrane Database Syst Rev 2014 Apr 3;2014(4):CD000937. doi: 10.1002/14651858.CD000937.pub2. PMID: 24696187Free PMC Article

Clinical prediction guides

Improving the interpretation of electronic fetal monitoring: the fetal reserve index.
Evans MI, Britt DW, Evans SM, Devoe LD
Am J Obstet Gynecol 2023 May;228(5S):S1129-S1143. Epub 2023 Mar 17 doi: 10.1016/j.ajog.2022.11.1275. PMID: 37164491
Diastolic deceleration area in the fetal MCA: a new Doppler parameter.
Ignatov PN, Neykova KK, Yordanova-Ignatova T
J Matern Fetal Neonatal Med 2023 Dec;36(1):2206939. doi: 10.1080/14767058.2023.2206939. PMID: 37121906
Fetal heart rate patterns in labor and the risk of neonatal encephalopathy: A case control study.
Reynolds AJ, Murray ML, Geary MP, Ater SB, Hayes BC
Eur J Obstet Gynecol Reprod Biol 2022 Jun;273:69-74. Epub 2022 Apr 23 doi: 10.1016/j.ejogrb.2022.04.021. PMID: 35504116
Predictive monitoring for sepsis and necrotizing enterocolitis to prevent shock.
Sullivan BA, Fairchild KD
Semin Fetal Neonatal Med 2015 Aug;20(4):255-61. Epub 2015 Mar 29 doi: 10.1016/j.siny.2015.03.006. PMID: 25823938
Magnesium supplementation in pregnancy.
Makrides M, Crosby DD, Bain E, Crowther CA
Cochrane Database Syst Rev 2014 Apr 3;2014(4):CD000937. doi: 10.1002/14651858.CD000937.pub2. PMID: 24696187Free PMC Article

Recent systematic reviews

Magnesium supplementation in pregnancy.
Makrides M, Crosby DD, Bain E, Crowther CA
Cochrane Database Syst Rev 2014 Apr 3;2014(4):CD000937. doi: 10.1002/14651858.CD000937.pub2. PMID: 24696187Free PMC Article

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