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Moderate Baseline Fetal Heart Rate Variability

MedGen UID:
821741
•Concept ID:
C3828993
•
Finding
Synonym: Moderate Baseline Variability

Definition

A baseline fetal heart rate with a detectable amplitude range that is greater than or equal to 6 but less than or equal to 25 beats per minute. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVModerate Baseline Fetal Heart Rate Variability

Recent clinical studies

Etiology

Fetal heart rate responses to maternal sleep-disordered breathing.
DiPietro JA, Bai J, Sgambati FP, Henderson JL, Watson H, Raghunathan RS, Pien GW
Am J Obstet Gynecol 2023 Apr;228(4):459.e1-459.e8. Epub 2022 Sep 29 doi: 10.1016/j.ajog.2022.09.037. PMID: 36183777Free PMC Article
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
Application of a Proposed Algorithm to Cesarean Deliveries for Nonreassuring Fetal Heart Rate Tracing.
Berger DS, Crosland A, Newman R, Bosse B, Makhoul J, Chan K, Seet EL
Am J Perinatol 2022 Mar;39(4):342-348. Epub 2021 Nov 28 doi: 10.1055/s-0041-1739412. PMID: 34839476
Cardiotocographic features in COVID-19 infected pregnant women.
Sinaci S, Ocal DF, Ozden Tokalioglu E, Halici Ozturk F, Aydin Senel S, Keskin LH, Moraloglu Tekin O, Sahin D
J Perinat Med 2022 Jan 27;50(1):46-55. Epub 2021 Aug 19 doi: 10.1515/jpm-2021-0132. PMID: 34411469
Intrapartum zigzag pattern of fetal heart rate is an early sign of fetal hypoxia: A large obstetric retrospective cohort study.
Tarvonen M, Hovi P, Sainio S, Vuorela P, Andersson S, Teramo K
Acta Obstet Gynecol Scand 2021 Feb;100(2):252-262. Epub 2020 Oct 15 doi: 10.1111/aogs.14007. PMID: 32981037Free PMC Article

Diagnosis

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
Cardiotocographic features in COVID-19 infected pregnant women.
Sinaci S, Ocal DF, Ozden Tokalioglu E, Halici Ozturk F, Aydin Senel S, Keskin LH, Moraloglu Tekin O, Sahin D
J Perinat Med 2022 Jan 27;50(1):46-55. Epub 2021 Aug 19 doi: 10.1515/jpm-2021-0132. PMID: 34411469
Intrapartum zigzag pattern of fetal heart rate is an early sign of fetal hypoxia: A large obstetric retrospective cohort study.
Tarvonen M, Hovi P, Sainio S, Vuorela P, Andersson S, Teramo K
Acta Obstet Gynecol Scand 2021 Feb;100(2):252-262. Epub 2020 Oct 15 doi: 10.1111/aogs.14007. PMID: 32981037Free PMC Article
Use of sound-elicited fetal heart rate accelerations to assess fetal hearing in the second and third trimester.
Hibiya-Motegi R, Nakayama M, Matsuoka R, Takeda J, Nojiri S, Itakura A, Koike T, Ikeda K
Int J Pediatr Otorhinolaryngol 2020 Jun;133:110001. Epub 2020 Mar 13 doi: 10.1016/j.ijporl.2020.110001. PMID: 32222580
Intrapartum Fetal Surveillance. Is It Worthwhile?
Low JA
Obstet Gynecol Clin North Am 1999 Dec;26(4):725-39. doi: 10.1016/s0889-8545(05)70109-1. PMID: 10617407

Therapy

The effect of perceptual decision-making on the interpretation of twin fetal heart rate tracings.
Ploran EJ, Soni S, Snellings JT, Rausch A, Rochelson B
J Matern Fetal Neonatal Med 2022 Jun;35(11):2116-2121. Epub 2020 Jun 29 doi: 10.1080/14767058.2020.1779695. PMID: 32594812
Antenatal interventions based upon fetal surveillance of the daily opioid-exposed fetus: a descriptive analysis.
Brar B, Jackson D, Nat M, Patil P, Iriye B, Planinic P
J Matern Fetal Neonatal Med 2020 Mar;33(6):909-912. Epub 2018 Sep 10 doi: 10.1080/14767058.2018.1509067. PMID: 30078349
The fetal heart monitor tracing in pregnancies complicated by fetal thyrotoxicosis.
Towers CV, Thomas S, Steiger RM
Am J Perinatol 2009 May;26(5):373-7. Epub 2008 Dec 9 doi: 10.1055/s-0028-1110089. PMID: 19067279
Effect of chronic maternal methadone therapy on intrapartum fetal heart rate patterns.
Ramirez-Cacho WA, Flores S, Schrader RM, McKay J, Rayburn WF
J Soc Gynecol Investig 2006 Feb;13(2):108-11. doi: 10.1016/j.jsgi.2005.11.001. PMID: 16443503
The effect of lumbar epidural anesthesia on fetal heart rate baseline variability.
Boehm FH, Woodruff LF Jr, Growdon JH Jr
Anesth Analg 1975 Nov-Dec;54(6):779-82. doi: 10.1213/00000539-197511000-00027. PMID: 1239217

Prognosis

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
Web-based comparison of historical vs contemporary methods of fetal heart rate interpretation.
Epstein AJ, Iriye BK, Hancock L, Quilligan EJ, Rumney PJ, Hancock J, Ghamsary M, Eakin CM, Smith C, Wing DA
Am J Obstet Gynecol 2016 Oct;215(4):488.e1-5. Epub 2016 Apr 16 doi: 10.1016/j.ajog.2016.04.009. PMID: 27094965
The fetal heart monitor tracing in pregnancies complicated by fetal thyrotoxicosis.
Towers CV, Thomas S, Steiger RM
Am J Perinatol 2009 May;26(5):373-7. Epub 2008 Dec 9 doi: 10.1055/s-0028-1110089. PMID: 19067279
Fetal acidemia and electronic fetal heart rate patterns: is there evidence of an association?
Parer JT, King T, Flanders S, Fox M, Kilpatrick SJ
J Matern Fetal Neonatal Med 2006 May;19(5):289-94. doi: 10.1080/14767050500526172. PMID: 16753769
Intrapartum Fetal Surveillance. Is It Worthwhile?
Low JA
Obstet Gynecol Clin North Am 1999 Dec;26(4):725-39. doi: 10.1016/s0889-8545(05)70109-1. PMID: 10617407

Clinical prediction guides

Fetal heart rate responses to maternal sleep-disordered breathing.
DiPietro JA, Bai J, Sgambati FP, Henderson JL, Watson H, Raghunathan RS, Pien GW
Am J Obstet Gynecol 2023 Apr;228(4):459.e1-459.e8. Epub 2022 Sep 29 doi: 10.1016/j.ajog.2022.09.037. PMID: 36183777Free PMC Article
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
Cardiotocographic features in COVID-19 infected pregnant women.
Sinaci S, Ocal DF, Ozden Tokalioglu E, Halici Ozturk F, Aydin Senel S, Keskin LH, Moraloglu Tekin O, Sahin D
J Perinat Med 2022 Jan 27;50(1):46-55. Epub 2021 Aug 19 doi: 10.1515/jpm-2021-0132. PMID: 34411469
The effect of perceptual decision-making on the interpretation of twin fetal heart rate tracings.
Ploran EJ, Soni S, Snellings JT, Rausch A, Rochelson B
J Matern Fetal Neonatal Med 2022 Jun;35(11):2116-2121. Epub 2020 Jun 29 doi: 10.1080/14767058.2020.1779695. PMID: 32594812
Intrapartum zigzag pattern of fetal heart rate is an early sign of fetal hypoxia: A large obstetric retrospective cohort study.
Tarvonen M, Hovi P, Sainio S, Vuorela P, Andersson S, Teramo K
Acta Obstet Gynecol Scand 2021 Feb;100(2):252-262. Epub 2020 Oct 15 doi: 10.1111/aogs.14007. PMID: 32981037Free PMC Article

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