{"title":"Intrapartum foetal heart rate decelerations are physiological adaptations to hypoxia: a critical appraisal of the recent evidence","authors":"Sasanelli, Zullo, Sorrenti, D’Alberti, Demarco, D’Ambrosio, Giancotti, Giannini, Muzii, Galoppi, Pecorini, D. Mascio, Brunelli","doi":"10.36129/jog.2023.135","DOIUrl":null,"url":null,"abstract":"Electronic intrapartum foetal monitoring (also known as cardiotocography, CTG) is the standard technique to assess the foetal well-being during labour. In the last decade, several researchers have provided useful information regarding the pathophysiology of foetal heart rate (FHR) decelerations, the main CTG feature to cause interpretation disagreement; recent evidence summarized in this paper set new grounds to reconceptualize the “classical” aetiology of intrapartum foetal hypoxia and FHR decelerations. Each deceleration is generated from hypoxia","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Italian Journal of Gynaecology and Obstetrics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36129/jog.2023.135","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
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Abstract
Electronic intrapartum foetal monitoring (also known as cardiotocography, CTG) is the standard technique to assess the foetal well-being during labour. In the last decade, several researchers have provided useful information regarding the pathophysiology of foetal heart rate (FHR) decelerations, the main CTG feature to cause interpretation disagreement; recent evidence summarized in this paper set new grounds to reconceptualize the “classical” aetiology of intrapartum foetal hypoxia and FHR decelerations. Each deceleration is generated from hypoxia
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Presentazione: E’ l’organo ufficiale della Società Italiana di Ginecologia e Ostetricia. Con cadenza trimestrale pubblica articoli originali su temi di anatomia, istologia, fisiologia, patologia, genetica e virologia dell’apparato genitale femminile. Propone, inoltre, casi clinici riguardanti valutazioni di tecniche chirurgiche e trattamenti terapeutici; editoriali e review; il punto di vista di eminenti autori su particolari tematiche sotto l’aspetto etico e clinico.
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