Prevention of fetal brain injury in category II tracings

ConclusionsFetal BDecf reached 12  mEq/L within 1 h of recurrent fetal heart rate decelerations in the rapid progression group and within 3 h in the slow progression group. These findings suggest that cases with category II tracings marked by recurrent decelerations (i.e., slow progression) may benefit from operative intervent ion if persisting for longer than 2 h. In contrast, cases with sudden bradycardia (i.e., rapid progression) represent a challenge to prevent severe acidosis and hypoxic brain injury due to the limited time opportunity for emergent delivery.

Source: Acta Obstetricia et Gynecologica Scandinavica - September 12, 2023 Category: OBGYN Authors: Masahiro Nakao, Michael G. Ross, Shoichi Magawa, Satoshi Toyokawa, Kiyotake Ichizuka, Naohiro Kanayama, Shoji Satoh, Nanako Tamiya, Akihito Nakai, Keiya Fujimori, Tsugio Maeda, Akira Oka, Hideaki Suzuki, Mitsutoshi Iwashita, Tomoaki Ikeda Tags: ORIGINAL RESEARCH ARTICLE Source Type: research