[Intrapartum therapy-resistant fetal bradycardia--color Doppler sonographic diagnosis of umbilical cord compression due to fetal grasping].
Fetal heart rate pathology is seen in up to 40% of complications of the umbilical cord. We report a case in which long lasting bradycardia was associated with fetal grasping of the umbilical cord. Using colour doppler, the reason for the bradycardia could be detected. After vibro-acoustic stimulation the fetus released the grasp of the umbilical cord, following by a normalisation of the fetal heart rate and a spontaneous delivery two hours later. This case report underlines the importance of colour doppler for the diagnosis of fetal heart rate pathology.
Heyl
W
W
Klinik für Gynäkologie und Geburtshilfe, Medizinischen Fakultät der RWTH Aachen.
Rath
W
W
D000328:Adult; D001919:Bradycardia / Q000000981:diagnostic imaging*; D003251:Constriction, Pathologic; D005260:Female; D005324:Fetal Movement; D006340:Heart Rate, Fetal; D006801:Humans; D007231:Infant, Newborn; D010812:Physical Stimulation; D011247:Pregnancy; D016216:Ultrasonography, Prenatal; D014470:Umbilical Cord; D014732:Vibration
Therapieresistente fetale Bradykardie sub partu--farbdoppler-sonographischer Nachweis einer manuellen Nabelschnurkompression durch den Feten.