Maternal ECG recorded by internal monitoring closely mimicking fetal heart rate in a recent fetal death.
A case of intrapartum fetal death in which the maternal heart rate was recorded by internal fetal monitoring is presented. The electrical activity of the maternal heart was transmitted via the fetal body and the recording mimicked a "normal" fetal heart rate (FHR). The patient was referred because of sudden abdominal pain and bleeding; Doppler fetal heart tones were not heard. Because internal monitoring was synchronous with the maternal pulse, ultrasonography was performed and established the diagnosis of fetal demise. Awareness and usage of simple modalities are mandatory for proper diagnosis in such cases.
Herman
A
A
Department of Obstetrics and Gynecology, Assaf Harofeh Medical Centre, Zerifin, Israel.
Ron-El
R
R
Arieli
S
S
Schreyer
P
P
Caspi
E
E
D000328:Adult; D004562:Electrocardiography; D005260:Female; D005313:Fetal Death / Q000175:diagnosis*; D005323:Fetal Monitoring; D006339:Heart Rate; D006340:Heart Rate, Fetal; D006801:Humans; D011247:Pregnancy