title: Changes in fetal heart rate pattern after intrauterine paracentesis in one twin with meconium peritonitis.
abstract: We report a case of in utero paracentesis of ascites in a fetus with meconium peritonitis due to volvulus at 34 weeks which resulted in the correction of an abnormal fetal heart rate pattern and enabled vaginal delivery by preventing abdominal dystocia. The intrauterine intervention also helped to establish the diagnosis and potentially reduced the respiratory compromise after birth.
authors.affiliation: Fetal Assessment & Treatment Unit, Department of Obstetrics & Gynecology, Mount Sinai Hospital, University of Toronto, Ontario, Canada. leungwc@ha.org.hk
authors.forename: W C
authors.initials: WC
authors.lastname: Leung
authors.forename: P
authors.initials: P
authors.lastname: Pandya
authors.forename: G
authors.initials: G
authors.lastname: Seaward
authors.forename: R
authors.initials: R
authors.lastname: Windrim
authors.forename: G
authors.initials: G
authors.lastname: Ryan
mesh_terms: D000328:Adult; D001145:Arrhythmias, Cardiac / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis*; D005323:Fetal Monitoring; D006340:Heart Rate, Fetal; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000601:surgery; D008297:Male; D008470:Meconium; D019152:Paracentesis / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011296:Prenatal Diagnosis; D014427:Twins