Christopher Robinson: Abnormal Fetal Heart Rate Patterns Caused by Listeria Monocytogenes
Christopher Robinson, Physician/Partner at Charleston Maternal Fetal Medicine, shared a post on LinkedIn about a paper by Anthony M. Vintzileos published in AJOG:
“AJOG Expert Review: Abnormal fetal heart rate patterns caused by pathophysiologic processes other than fetal acidemia – FHR tracing of a case of hematogenous fetal infection because of Listeria monocytogenes.
This patient was at 35 weeks and 5 days gestation in active labor; on admission, there were frequent uterine contractions accompanied by late FHR decelerations (arrows) (A); 60 min after admission, persistent and frequent late decelerations (arrows) with absent FHR variability were noted, resulting in an undulating FHR pattern (B); 90 min after admission, persistent fetal tachycardia, absent variability, and subtle late decelerations (arrows) were noted (C). At cesarean delivery, 90 min after admission, foul smelling amniotic fluid was noted; Apgar scores were 1, 6, and 7 at 1, 5, and 10 minutes, respectively; cord artery pH=7.18, cord vein pH=7.21; neonatal blood cultures were positive for Listeria monocytogenes; the female neonate was treated for neonatal sepsis with gentamycin and ampicillin for 2 weeks. Paper speed 3 cm/min.”
Title: Abnormal fetal heart rate patterns caused by pathophysiologic processes other than fetal acidemia
Authors: Anthony M. Vintzileos, John C. Smulian
Read the full article.
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