Sinusoidal fetal heart rate pattern due to massive feto-maternal transfusion

• Published in: International journal of gynecology and obstetrics Vol. 31; no. 3; pp. 271 - 273
• Main Authors: Rosenn, B., Ben Chetrit, A., Palti, Z., Hurwitz, A.
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 01.03.1990; Elsevier Science
• Subjects: Adult; Biological and medical sciences; Diseases of mother, fetus and pregnancy; Female; Fetal anemia; Fetal heart rate pattern; Fetal Hypoxia - diagnosis; Fetal Hypoxia - etiology; Fetal Hypoxia - physiopathology; Feto-maternal transfusion; Fetomaternal Transfusion - complications; Fetomaternal Transfusion - diagnosis; Gynecology. Andrology. Obstetrics; Heart Rate, Fetal; Humans; Infant, Newborn; Medical sciences; Pregnancy; Pregnancy. Fetus. Placenta; Prenatal Diagnosis; Sinusoidal fetal heart rate; Fetal heart rate pattern; Fetal anemia; Feto-maternal transfusion; Sinusoidal fetal heart rate; Human; Transfusion; Pregnancy disorders; Arrhythmia; Anemia; Cardiovascular disease; Hemopathy; Case study; Heart rate; Fetomaternal; Fetal diseases; Sinusoidal; Diagnosis
• ISSN: 0020-7292; 1879-3479
• DOI: 10.1016/0020-7292(90)91022-I

A 30-year-old woman presented with mild adbominal discomfort and decreased fetal movements in the 34th week of her third pregnancy. Fetal monitoring revealed a sinusoidal heart rate pattern, and abdominal delivery was promptly performed, with the newborn having a hematocrit of 7% due to massive feto-maternal transfusion. Fetal resuscitation was followed by a favorable outcome. The sinusoidal heart rate is discussed, with emphasis on the need for proper and prompt recognition of its significance.