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Intermittent Sinusoidal Fetal Heart Rate and Massive Maternal-Fetal Hemorrhage: A Case Report

Published:April 01, 2019DOI:https://doi.org/10.1016/j.jogc.2019.01.022

      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

      1. Society of Obstetricians and Gynaecologists of Canada (SOGC). ALARM 22nd Edition. SOGC, 2015-2016. p. 44.

        • Guo X-H
        • Zhang H-Y
        • Wang Y-I
        • Liang H-P
        Clinical significance of intermittent sinusoidal fetal heart rate at third trimester.
        Obstet Gynecol. 2011; 46: 342-344
        • Kang AH
        • Boehm FH.
        The clinical significance of intermittent sinusoidal fetal heart rate.
        Am J Obstet Gynecol. 1999; 180: 151-152
        • Markham LA.
        • Charsha DS
        • Perelmuter B.
        Case report of massive fetomaternal hemorrhage and a guideline for acute neonatal management.
        Adv Neonatal Care. 2006; 6: 197-205
        • Place J
        • Plano L.
        A case report of decreased fetal movement during fetomaternal hemorrhage.
        J Obstet Gynecol Neonatal Nurs. 2015; 44: 737-742
        • Christensen RD
        • Lambert DK
        • Baer VL
        • et al.
        Severe neonatal anemia from fetomaternal hemorrhage: report from a multihospital health-care system.
        J Perinatol. 2013; 33: 429-434