V-shaped deceleration differs in the pattern of carotid blood flow from variable deceleration provoked by cord compression

Tomoharu Yasui, Yoshitaka Kimura, Jun Murotsuki, Takanori Watanabe, Takahiro Koshino, Kunihiro Okamura

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To investigate whether V-shaped decelerations in fetal heart rate tracing are a physiologic response to fetal movements or secondary to cord compression. Study design: Six pregnant sheep and their fetuses (115-125 days of gestation) were surgically instrumented and studied. Fetal electrocardiogram, carotid blood flow, arterial blood pressure and fetal movement were continuously monitored for 24 hours. Following the undisturbed 24 hour recording, these parameters were monitored during umbilical cord compression (n = 6). Differences in these parameters between V-shaped decelerations and decelerations provoked by cord compressions were examined. Results: Elevation of blood pressure and decreased carotid blood flow were observed coincidentally with the initiation of V-shaped decelerations. In cord compression, elevation of both blood pressure and carotid blood flow were followed by a decreased heart rate. V-shaped decelerations exhibited a different alteration of carotid blood flow compared to decelerations caused by umbilical cord compression. Conclusion: V-shaped deceleration is a physiologic response secondary mainly to fetal movements and is not caused by cord compression.

Original languageEnglish
Pages (from-to)257-264
Number of pages8
JournalJournal of Perinatal Medicine
Volume30
Issue number3
DOIs
Publication statusPublished - 2002

Keywords

  • Carotid artery blood flow
  • Fetal heart rate monitoring
  • V-shaped deceleration
  • Variable deceleration

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

Fingerprint Dive into the research topics of 'V-shaped deceleration differs in the pattern of carotid blood flow from variable deceleration provoked by cord compression'. Together they form a unique fingerprint.

Cite this