Computerized cardiotocography and fetal heart response to maternal coffee intake: a prospective study.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Minerva obstetrics and gynecology Pub Date : 2024-07-30 DOI:10.23736/S2724-606X.24.05406-X
Marco LA Verde, Maria G Vastarella, Fabiana Savoia, Carlo Capristo, Maria M Marrapodi, Marina Tesorone, Davide Lettieri, Pasquale DE Franciscis, Nicola Colacurci, Maddalena Morlando
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Abstract

Background: The aim of this study was to determine the effect of caffeine on fetal heart rate (FHR) as determined by computerized cardiotocography (cCTG) parameters.

Methods: Term pregnancies that performed a fetal antepartum cCTG were included. Two physicians recorded coffee habits before the cCTG, and pregnant women were divided into two groups: the coffee group and the control group. Furthermore, cCTG' parameters were compared between the two groups.

Results: One hundred thirty-four pregnant women were enrolled. Based on maternal coffee habits, 82 pregnant women were allocated to the coffee group, while 52 were in the control group. The two groups shared similar demographic and obstetric characteristics. The mean daily coffee intake was 1.4±0.6 cups. Coffee group fetuses evidenced a lower FHR baseline, 135±9.9 bpm, versus the control group, 138±8.0 bpm, (P value = 0.03). Other cCTG parameters did not show statistical differences. Multivariate analysis demonstrated no confounding factors. A subanalysis that evaluated the daily amount of coffee consumed or the half-life of caffeine found no difference in cCTG measures.

Conclusions: Maternal caffeine consumption did not influence fetal cardiac reactivity after absorption.

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计算机心动图和胎儿心脏对母体咖啡摄入量的反应:一项前瞻性研究。
背景:本研究的目的是确定咖啡因对计算机心动图(cCTG)参数测定的胎儿心率(FHR)的影响:本研究的目的是确定咖啡因对通过计算机心动图(cCTG)参数测定的胎儿心率(FHR)的影响:方法:研究对象包括进行了产前计算机心动图检查的足月妊娠。两名医生在进行 cCTG 之前记录孕妇的咖啡习惯,并将孕妇分为两组:咖啡组和对照组。此外,还对两组孕妇的 cCTG 参数进行了比较:结果:共招募了 134 名孕妇。根据孕妇的咖啡习惯,82 名孕妇被分配到咖啡组,52 名被分配到对照组。两组孕妇的人口和产科特征相似。平均每日咖啡摄入量为 1.4±0.6 杯。咖啡组胎儿的 FHR 基线(135±9.9 bpm)低于对照组(138±8.0 bpm)(P 值 = 0.03)。其他 cCTG 参数未显示出统计学差异。多变量分析表明没有混杂因素。一项评估每日咖啡饮用量或咖啡因半衰期的子分析发现,cCTG指标没有差异:结论:母体摄入咖啡因不会影响胎儿吸收后的心脏反应。
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来源期刊
Minerva obstetrics and gynecology
Minerva obstetrics and gynecology OBSTETRICS & GYNECOLOGY-
CiteScore
2.90
自引率
11.10%
发文量
191
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