[Can neonatal anemia be predicted by analysis of the fetal cardiac rhythm?].
It is difficult to diagnose the severe pathological condition of fetal anaemia before birth. 30 cases of neonatal anaemia were compared with a control group who had normal haemoglobins after attempts at screening using fetal cardiotocography (CTG). Half all anaemic fetuses had a normal CTG trace and in 11 others (37%) though the abnormalities were serious they were not specific. Four fetuses (13%) had a sinusoidal cardiac rhythm which does seem to be the only specific sign of anaemia of any value as a predictive sign. Unfortunately this sign is not a sensitive one. It therefore appears that CTG is only of very limited value in screening for neonatal anaemia.
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De Muylder
D000751:Anemia, Neonatal / Q000175:diagnosis*; D005260:Female; D005318:Fetal Heart / Q000503:physiopathology*; D005323:Fetal Monitoring; D006339:Heart Rate; D006801:Humans; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000379:methods*; D011379:Prognosis
Peut-on prédire l'anémie néonatale par l'analyse du rythme cardiaque foetal?