Abstract
Background
A sinusoidal fetal heart rate pattern is a well-documented sign of maternal-fetal
hemorrhage; however, an intermittent sinusoidal pattern is rare.
Case
This is a case of a 26-year-old primigravida who presented with decreased fetal movement.
On fetal heart rate monitoring there were episodes of intermittent sinusoidal fetal
heart rate pattern, and the baby was born with anemia.
Conclusion
This case highlights the need for increased vigilance and consideration of a diagnosis
of maternal-fetal hemorrhage when an intermittent sinusoidal fetal heart rate pattern
is identified.
Résumé
Contexte
Un tracé de fréquence cardiaque fœtale sinusoïdal est un signe bien connu d'hémorragie
fœtomaternelle; cependant, les tracés sinusoïdaux intermittents sont rares.
Cas
Une femme de 26 ans primigeste a consulté en raison d'une diminution des mouvements
fœtaux. Le monitorage de la fréquence cardiaque fœtale affichait des épisodes de tracé
sinusoïdal intermittent, et le bébé était anémique à la naissance.
Conclusion
Ce cas souligne qu'il faudra faire preuve d'une vigilance accrue et envisager un diagnostic
d'hémorragie fœtomaternelle dès qu'on observe un tracé sinusoïdal intermittent de
la fréquence cardiaque fœtale.
Key Words
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REFERENCES
Society of Obstetricians and Gynaecologists of Canada (SOGC). ALARM 22nd Edition. SOGC, 2015-2016. p. 44.
- Clinical significance of intermittent sinusoidal fetal heart rate at third trimester.Obstet Gynecol. 2011; 46: 342-344
- The clinical significance of intermittent sinusoidal fetal heart rate.Am J Obstet Gynecol. 1999; 180: 151-152
- Case report of massive fetomaternal hemorrhage and a guideline for acute neonatal management.Adv Neonatal Care. 2006; 6: 197-205
- A case report of decreased fetal movement during fetomaternal hemorrhage.J Obstet Gynecol Neonatal Nurs. 2015; 44: 737-742
- Severe neonatal anemia from fetomaternal hemorrhage: report from a multihospital health-care system.J Perinatol. 2013; 33: 429-434
Article info
Publication history
Published online: April 01, 2019
Footnotes
Competing interests: The authors declare that they have no competing interests.
Each author has indicated that they meet the journal's requirements for authorship.
Identification
Copyright
© 2019 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
