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A normal nonstress test will show a baseline fetal heart rate between 110 and 160 beats per minute with moderate variability (5- to 25-interbeat variability) and 2 qualifying accelerations in 20 minutes with no decelerations. "Reactive" is defined as the presence of two or more fetal heart rate accelerations within a 20-minute period. Each ...
In later stages of pregnancy, a simple Doppler fetal monitor can be used to quantify the fetal heart rate. A fetal heartbeat can be detected at around 17 to 20 weeks of gestation when the chambers of the heart have become sufficiently developed. [20]
A Doppler fetal monitor, informally known as sonicaid (generic trademark), is a hand-held ultrasound transducer used to detect the fetal heartbeat for prenatal care. It uses the Doppler effect to provide an audible simulation of the heart beat. Some models also display the heart rate in beats per minute (BPM).
The heart rate increases, but generally not above 100 beats/ minute. Total systematic vascular resistance decreases by 20% secondary to the vasodilatory effect of progesterone. Overall, the systolic and diastolic blood pressure drops 10–15 mm Hg in the first trimester and then returns to baseline in the second half of pregnancy. [6]
A Zigzag pattern of fetal heart rate (FHR) is defined as FHR baseline amplitude changes of more than 25 beats per minute (bpm) with a minimum duration of 2 minutes and maximum of 30 minutes. [19] However, according to another study, even a >1 min duration of the zigzag pattern is associated with an increased risk of adverse neonatal outcomes. [21]
The condition is detected most often with electronic fetal heart rate (FHR) monitoring through cardiotocography (CTG), which allows clinicians to measure changes in the fetal cardiac response to declining oxygen. [1] [5] [4] Specifically, heart rate decelerations detected on CTG can represent danger to the fetus and to delivery. [4]
Fetal heart-rate monitoring [9] Week 12 – onward ... The specialised nuchal scan at 11–13 weeks may be used to identify higher risks of Downs syndrome.
Funic souffle (also known as funicular or fetal souffle), is a blowing sound heard in synch with fetal heart sounds, and may originate from the umbilical cord. It has also been described as a sharp, whistling sound that is synchronous with the pulse of the foetus, usually heard during the second trimester of pregnancy (13–28 weeks). [3]
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