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Late fetal heart deceleration

MedGen UID:
607344
Concept ID:
C0429482
Finding
Synonyms: Late Deceleration; Late Fetal Heart Rate Deceleration; Late foetal heart deceleration; Type 2 dip
SNOMED CT: Late foetal heart deceleration (251675006); Late fetal heart deceleration (251675006); Type 2 dip (251675006)

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 after 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  
  • CROGVLate fetal heart deceleration

Professional guidelines

PubMed

Kurimoto T, Ibara S, Kamitomo M, Tokuhisa T, Maeda T, Maede Y, Ishihara C, Naito Y, Hirakawa E, Yamamoto T
J Obstet Gynaecol Res 2020 Nov;46(11):2383-2389. Epub 2020 Sep 13 doi: 10.1111/jog.14473. PMID: 32924259
Liston R, Crane J, Hamilton E, Hughes O, Kuling S, MacKinnon C, McNamara H, Milne K, Richardson B, Trépanie MJ; Working Group on Fetal Health Surveillance in Labor, Executive and Council, Maternal-Fetal Medicine Committee, Clinical Practice Guidline Committee, and ALARM Committee, Society of Obstetricians and Gynaecologists Canada; Canadian Medical Protection Association
J Obstet Gynaecol Can 2002 Mar;24(3):250-76; quiz 277-80. PMID: 12196876
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

Yamaguchi-Goto T, Ohashi M, Kodama Y, Sameshima H
J Obstet Gynaecol Res 2023 Feb;49(2):625-634. Epub 2022 Nov 25 doi: 10.1111/jog.15508. PMID: 36433630
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
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, Lapresta Moros M, Pascual Mancho J, Lapresta Moros C, Castán Mateo S
J Matern Fetal Neonatal Med 2017 Nov;30(21):2578-2584. Epub 2016 Nov 24 doi: 10.1080/14767058.2016.1256993. PMID: 27819172
Morrison EH
Am Fam Physician 1998 Nov 1;58(7):1593-604. PMID: 9824957

Diagnosis

Martí Gamboa S, Lapresta Moros M, Pascual Mancho J, Lapresta Moros C, Castán Mateo S
J Matern Fetal Neonatal Med 2017 Nov;30(21):2578-2584. Epub 2016 Nov 24 doi: 10.1080/14767058.2016.1256993. PMID: 27819172
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
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
Parer JT, Livingston EG
Am J Obstet Gynecol 1990 Jun;162(6):1421-5; discussion 1425-7. doi: 10.1016/0002-9378(90)90901-i. PMID: 2193513

Therapy

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
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
Tahmina S, Daniel M, Krishnan L
Am J Obstet Gynecol MFM 2022 Mar;4(2):100574. Epub 2022 Jan 17 doi: 10.1016/j.ajogmf.2022.100574. PMID: 35051669
Raghuraman N
Semin Perinatol 2020 Mar;44(2):151217. Epub 2019 Nov 23 doi: 10.1016/j.semperi.2019.151217. PMID: 32007313
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

Prognosis

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
Vintzileos AM, Smulian JC
Am J Obstet Gynecol 2023 May;228(5S):S1144-S1157. Epub 2023 Mar 17 doi: 10.1016/j.ajog.2022.05.002. PMID: 36964003
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
Martí Gamboa S, Lapresta Moros M, Pascual Mancho J, Lapresta Moros C, Castán Mateo S
J Matern Fetal Neonatal Med 2017 Nov;30(21):2578-2584. Epub 2016 Nov 24 doi: 10.1080/14767058.2016.1256993. PMID: 27819172
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

Clinical prediction guides

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
Vintzileos AM, Smulian JC
Am J Obstet Gynecol 2023 May;228(5S):S1144-S1157. Epub 2023 Mar 17 doi: 10.1016/j.ajog.2022.05.002. PMID: 36964003
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
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
Martí Gamboa S, Lapresta Moros M, Pascual Mancho J, Lapresta Moros C, Castán Mateo S
J Matern Fetal Neonatal Med 2017 Nov;30(21):2578-2584. Epub 2016 Nov 24 doi: 10.1080/14767058.2016.1256993. PMID: 27819172

Recent systematic reviews

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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