Artifactual fetal electrocardiographic detection using internal monitoring following intrapartum fetal demise during VBAC trial.
Absent or erratic fetal electrocardiographic signal can result in artifactual electronic fetal heart rate recording. We report a case where detection of maternal heart rate through internal fetal scalp monitor may have masked intrauterine fetal demise secondary to acute uterine rupture during a VBAC trial.
Ramsey
P S
PS
Department of Obstetrics and Gynecology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA. ramsey_patrick@hotmail.com
Johnston
B W
BW
Welter
V E
VE
Ogburn
P L
PL
D000328:Adult; D004562:Electrocardiography; D005189:False Positive Reactions; D005260:Female; D005313:Fetal Death / Q000000981:diagnostic imaging / Q000209:etiology; D005323:Fetal Monitoring; D006340:Heart Rate, Fetal; D006801:Humans; D011247:Pregnancy; D014219:Trial of Labor; D014463:Ultrasonography; D014597:Uterine Rupture / Q000150:complications; D016064:Vaginal Birth after Cesarean