Telemetric monitoring of fetal blood pressure and heart rate in the freely moving pregnant sheep: a feasibility study.
Remote telemetric monitoring of fetal haemodynamics in pregnant sheep would allow unrestricted animal movement, minimize suffering and distress, and improve animal welfare, while enhancing the quality of data collected. This may also be useful in clinical practice following fetal surgery. Using an open fetal surgical technique at approximately two-thirds of gestation, we implanted the catheter of a D70-PCTP haemodynamic telemetric device (Data Sciences International, Tilburg, The Netherlands) into the carotid artery of the fetal sheep (n = 4). The attached transmitter was secured to the posterior aspect of the maternal anterior abdominal wall. Two receivers, with a range of 1 m each, were sited in an 11 m² sheep enclosure to maximize animal freedom while allowing continuous monitoring of the ewe. The receivers were connected by cable to a nearby computer. In the first two procedures, both fetuses died eight and 12 days after surgery, and the catheter tip was observed to be lying in the bicarotid trunk. In the next two procedures the catheter tip was threaded further upstream from the insertion point, in an attempt to reach the fetal aorta, and both fetuses survived until the scheduled postmortem examination at the end of pregnancy. After catheter implantation, fetal blood pressure (BP) and heart rate (HR) were successfully recorded continuously for seven days and then hourly per day for a further three weeks. The fetal BP and HR values were in the normal range for healthy sheep fetuses.
Fetal Medicine Unit, Elizabeth Garrett Anderson Institute for Women's Health, University College London and University College London Hospitals NHS Foundation Trust, London WC1E 6HX, UK. abinaderk@yahoo.com
Khalil N
KN
Abi-Nader
Vedanta
V
Mehta
S W Steven
SW
Shaw
Tom
T
Bellamy
Neil
N
Smith
Laura
L
Millross
Beth
B
Laverick
Elisa
E
Filippi
Michael
M
Boyd
Donald M
DM
Peebles
Anna L
AL
David
D000818:Animals; D001794:Blood Pressure; D004562:Electrocardiography / Q000295:instrumentation*; D005240:Feasibility Studies; D005260:Female; D005323:Fetal Monitoring / Q000295:instrumentation / Q000379:methods* / Q000662:veterinary; D005333:Fetus / Q000601:surgery; D006340:Heart Rate, Fetal; D011247:Pregnancy; D034561:Sheep, Domestic / Q000502:physiology / Q000601:surgery*; D012815:Signal Processing, Computer-Assisted; D013686:Telemetry / Q000295:instrumentation / Q000662:veterinary*