The effect of fetal hypoxia and acidosis on the changes in fetal electroencephalogram during labor. 1988

J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
Department of Obstetrics and Gynecology, University of Zagreb, Yugoslavia.

As artefact-free recordings of the fetal brain bioelectric potentials can only be obtained by specially designed electrodes, an electrode for taking electroencephalogram (EEG) and cardiotocogram (CTG), according to the principle of vacuum electrode developed by Rosen and Scibetta, has been designed. The polygraphic technique was used to examine a total of 65 deliveries, divided into two groups. The first group (n = 33) consisted of newborns free of any signs of hypoxia and acidosis, whereas the second group (n = 32) was comprised of newborns with evident clinical and biochemical signs of hypoxia and acidosis. Fetal hypoxia and acidosis were observed to entail some characteristic changes in EEG, that is, a decrease in the frequency and wave amplitude through the appearance of the isoelectric line (ISO) featuring in severe cases of fetal hypoxia and acidosis. The following changes were found to occur during the development of hypoxia and acidosis:hypoxia, a decrease in the EEG frequency and amplitude, preacidosis with the appearance of both early and late decelerations coupled with a significant drop in the oscillation and, eventually, severe variable decelerations accompanied by terminal bradycardia. The time interval between the manifestation of initial signs of a decreasing central nervous system (CNS) activity and changes in the fetal heart rate was found to be about 10 minutes.

UI MeSH Term Description Entries
D007743 Labor, Obstetric The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED). Obstetric Labor
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D004569 Electroencephalography Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain. EEG,Electroencephalogram,Electroencephalograms
D005260 Female Females
D005312 Fetal Blood Blood of the fetus. Exchange of nutrients and waste between the fetal and maternal blood occurs via the PLACENTA. The cord blood is blood contained in the umbilical vessels (UMBILICAL CORD) at the time of delivery. Cord Blood,Umbilical Cord Blood,Blood, Cord,Blood, Fetal,Blood, Umbilical Cord,Bloods, Cord,Bloods, Fetal,Bloods, Umbilical Cord,Cord Blood, Umbilical,Cord Bloods,Cord Bloods, Umbilical,Fetal Bloods,Umbilical Cord Bloods
D005315 Fetal Diseases Pathophysiological conditions of the FETUS in the UTERUS. Some fetal diseases may be treated with FETAL THERAPIES. Embryopathies,Disease, Fetal,Diseases, Fetal,Embryopathy,Fetal Disease
D005323 Fetal Monitoring Physiologic or biochemical monitoring of the fetus. It is usually done during LABOR, OBSTETRIC and may be performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as when the mother is undergoing surgery. Monitoring, Fetal,Fetal Monitorings,Monitorings, Fetal
D006340 Heart Rate, Fetal The heart rate of the FETUS. The normal range at term is between 120 and 160 beats per minute. Fetal Heart Rate,Fetal Heart Rates,Heart Rates, Fetal,Rate, Fetal Heart,Rates, Fetal Heart
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006863 Hydrogen-Ion Concentration The normality of a solution with respect to HYDROGEN ions; H+. It is related to acidity measurements in most cases by pH pH,Concentration, Hydrogen-Ion,Concentrations, Hydrogen-Ion,Hydrogen Ion Concentration,Hydrogen-Ion Concentrations

Related Publications

J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
January 1987, Jugoslavenska ginekologija i perinatologija,
J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
March 1968, Orvosi hetilap,
J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
May 1973, Annali di ostetricia, ginecologia, medicina perinatale,
J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
November 1955, Ceskoslovenska gynekologie,
J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
August 1970, Neuropadiatrie,
J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
January 1968, Revista chilena de obstetricia y ginecologia,
J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
November 1970, Experimental neurology,
J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
January 2015, Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology,
J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
January 1977, Voprosy okhrany materinstva i detstva,
J Djelmis, and A Drazancić, and V Dürrigl, and J Djelmis, and M Ivansenić
January 1995, Archives of gynecology and obstetrics,
Copied contents to your clipboard!