Transient fetal bradycardia
was observed in 5% of the fetuses for about 35-55 seconds and resolved spontaneously without any intervention.
occurred due to the atrioventricular node compression.
ECV should be stopped in the face of a prolonged or significant fetal bradycardia
or if the patient is experiencing intolerable levels of discomfort.
Labetalol may be considered as first line drug, but there is a potential risk of fetal bradycardia
However, in our case, lack of time available, sustained fetal bradycardia
, difficulty in positioning and the need for maternal bearing down efforts ruled out CSEA as an option.
Other reported adverse effects are uterine hyperstimulation, rupture or perforation, amniotic fluid embolism, severe vaginal bleeding, retained placenta, shock, fetal bradycardia
, and fetal death.
Norwitz's article, risks the associated fetal bradycardia
due to head compression that might compromise an already compromised fetus.
If the gestational age of the fetus is <24 weeks and the risk of embryopathy is also low, the live fetus may be persevered by maintaining appropriate CPB oxygen saturation and normal maternal blood glucose levels, which are important for avoiding fetal bradycardia
and arrhythmia and abortion.
Patients with congenital and clinical fetal abnormalities--including nonreassuring fetal status or episodes of resolved fetal bradycardia
, patients with pregnancy-associated hypertensive disorders, diabetes mellitus, gestational diabetes, and patients with known allergy to any of the vasopressors, were excluded.
Obstetric examination revealed less liquor and fetal bradycardia
One pregnancy was terminated in view of fetal monitor showing persistent fetal bradycardia
In group one, instrumental delivery was conducted for fetal bradycardia
in six out of eight deliveries, and two deliveries had a prolonged second stage for women in group two.