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Obstetrics & Gynecology 1985;65:125-126
© 1985 by The American College of Obstetricians and Gynecologists
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FIXED FETAL HEART RATE PATTERN AFTER INTRAUTERINE ACCIDENTAL DECEREBRATION

P. E. van der Moer, MD, G. Gerretsen, MD and G. H. A. Visser, MD

From tlw Department of Obstetrics and Gynecology, Leyenburg Teaching Hospital, The Hague, The Netherlands; and the University of Groningen, The Netherlands.

Abstract

A fixed fetal heart rate (FHR) pattern, with a normal frequency without accelerations and decelerations can be observed in early pregnancy during the inactive episodes of the rest-activity cycle, in association with certain drugs administered to the mother and in some cases of anencephaly. In the present case report a fetus is described in which a persistent fixed FHR pattern was indicative of decerebration in utero. The latter occurred after a serious maternal respiratory and cardiovascular collapse. The discrepancy between maternal and fetal outcome and the pathophysiologic backgrounds underlying the FHR changes are discussed.






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