Fetal death from sepsis following a reassuring intrapartum fetal acoustic stimulation test.
An intrapartum fetal death within 20 minutes of a reassuring acoustically stimulated fetal heart rate acceleration is reported. The cause of death in this instance was congenital pneumonia, gram-negative sepsis, and meconium aspiration. Umbilical cord pH values obtained at delivery did not demonstrate asphyxia (ie, low pO2, high pCO2, and low pH), but suggested a metabolic acidosis typical of sepsis.
Strong
T H
TH
Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles.
Masaki
D I
DI
Sarno
A P
AP
Paul
R H
RH
D000161:Acoustic Stimulation; D000328:Adult; D001424:Bacterial Infections / Q000151:congenital*; D005260:Female; D005312:Fetal Blood / Q000032:analysis; D005313:Fetal Death / Q000209:etiology*; D005323:Fetal Monitoring; D006090:Gram-Negative Bacteria; D006340:Heart Rate, Fetal; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007231:Infant, Newborn; D008471:Meconium Aspiration Syndrome / Q000209:etiology*; D011014:Pneumonia / Q000151:congenital*; D011247:Pregnancy