Cardiotocography
Pregnancy
Fetal Growth Retardation
Fetus
The cardiovascular and cerebrovascular responses of the immature fetal sheep to acute umbilical cord occlusion. (1/214)
1. In premature fetal sheep (89-93 days gestation) we examined the fetal response to asphyxia induced by 30 min of complete umbilical cord occlusion. Fetuses were also studied during the first 3 days after asphyxia. We measured heart rate, blood pressure, carotid and femoral blood flows, vascular resistance, electroencephalographic activity and cerebral changes in haemoglobin concentration by near infrared spectroscopy (NIRS). 2. Fetuses tolerated 30 min of asphyxia and the cardiovascular response was characterized by three phases: initial redistribution of blood flow away from the periphery to maintain vital organ function, partial failure of this redistribution and near terminal cardiovascular collapse, with profound hypotension and cerebral and peripheral hypoperfusion. 3. Post-asphyxia carotid blood flow and NIRS data demonstrated that between 3-5 h there was a significant secondary reduction in cerebral blood flow, blood volume and oxygenation despite normal perfusion pressure and heart rate. There was also a secondary fall in femoral blood flow which persisted throughout recovery. 4. These data demonstrate that the immature fetus can survive a prolonged period of asphyxia, but paradoxically the capacity to survive exposes the fetus to profound hypotension and hypoperfusion. A secondary period of significant cerebral hypoperfusion and reduced oxygen delivery also occurred post-asphyxia. These cardiovascular and cerebrovascular responses may contribute to the patterns of cerebral injury seen in the human preterm fetus. (+info)Visual function in term infants with hypoxic-ischaemic insults: correlation with neurodevelopment at 2 years of age. (2/214)
AIMS: To determine if there is any association between the findings of visual assessment performed at the age of 5 months and neurodevelopmental outcome at the age of 2 years in children who have sustained hypoxic-ischaemic insults. METHODS: Twenty nine term infants with hypoxic-ischaemic encephalopathy and/or brain lesions on neonatal magnetic resonance imaging (MRI) were prospectively evaluated. At 5 months of age all the infants had their visual function assessed using the Atkinson Battery of Child Development for Examining Functional Vision, which includes the assessments of optokinetic nystagmus (OKN), acuity, visual fields, fixation shift and phase and orientation reversal visual evoked potentials. At 2 years of age the children had a structured neurological evaluation and a Griffiths developmental assessment. RESULTS: There was good correlation between the extent of the early detected visual impairment and both neuromotor and global development. Children with more than three out of five abnormal visual tests at 5 months of age tended to have abnormal neurological examination results and abnormal developmental quotients. Children with three or fewer abnormalities tended to have developmental quotients in the normal range; the level of their performance, however, was still related to the number of visual tests passed. CONCLUSIONS: Individual visual tests can provide important prognostic information. While abnormal OKN and acuity were always associated with abnormal outcome, normal results on visual evoked potentials and fixation shift tended to be associated with normal outcome. (+info)Does endothelin-1 reduce superior mesenteric artery blood flow velocity in preterm neonates? (3/214)
AIM: To compare plasma endothelin-1 (ET-1) concentrations in preterm neonates from pre-eclamptic and normal mothers; and to evaluate whether ET-1 has a role in altered arterial blood flow velocity. METHODS: Umbilical arterial blood and neonatal arterial blood were sampled on days 1 and 3 for gas analysis and measurement of plasma ET-1. Doppler ultrasonography of the middle cerebral, renal, and superior mesenteric arteries (SMA) was performed. RESULTS: Neonates in the pre-eclampsia (n = 18) and control (n = 18) groups had mean (SD) gestational ages of 31.1 (2.5) weeks and 30.4 (2.1) weeks; their birth-weights were 1432 (SD 676) g and 1692 (SD 500) g, respectively. In the pre-eclampsia group mean umbilical arterial PO2 was lower--1.88 (0.75) kPa compared with 3.27 (1.41) kPa (p < 0.01)--and mean plasma ET-1 concentration was higher in the umbilical artery--40.6 (SD 15.0) compared with 30.5 (SD 13.8) pg/ml (p = 0.04) and day 1 blood--54.9 (35.0) pg/ml compared with 33.6 (14.6) pg/ml (p = 0.03). Middle cerebral artery peak systolic velocity was higher and SMA time averaged, peak systolic, and mean peak velocities were lower in the pre-eclampsia group. SMA time averaged velocity was inversely related to plasma ET-1 concentration. CONCLUSION: The association between increased production of ET-1 and reduction in SMA time averaged velocity suggests a possible mechanism for hypoperfusion of the intestinal wall in neonates. (+info)Chronic hypoxemia: effects on developing nitrergic and dopaminergic amacrine cells. (4/214)
PURPOSE: Very low birth weight and growth-restricted children have visual impairments including reduced contrast sensitivity, a parameter mediated in part by dopaminergic amacrine cells. The origin of these deficits is uncertain. In experimental fetal growth restriction, induced by placental insufficiency, the morphology and number of dopaminergic amacrine cells as identified by tyrosine hydroxylase staining were examined. In addition, the subclass of nitrergic amacrine cells was examined because nitric oxide released from nitric oxide synthase- containing neurons is proposed as a mediator of neurotoxicity and might contribute to the injury of dopaminergic amacrine cells in this situation. METHODS: Fetal sheep were subjected to 20 or 30 days of placental embolization leading to fetal hypoxemia, hypoglycemia, and growth restriction during the last third of gestation (term, approximately 147 days). Retinal tissue was prepared as wholemounts or cryostat sections and analyzed for retinal area, total number, density, somal size and cell process length of amacrine cells immunoreactive for tyrosine hydroxylase or nitric oxide synthase, and widths of retinal layers. Retinas from fetal sheep at 72, 96, 113, and 140 days' gestation and adults were collected for an ontogenetic study of tyrosine hydroxylase-immunoreactive neurons. RESULTS: In growth-restricted fetuses, the number of tyrosine hydroxylase-immunoreactive neurons and the total length of stained processes per cell were significantly reduced compared to control fetuses. The total number of neuronal nitric oxide synthase- containing neurons was not different between growth-restricted and control fetuses. The thickness of the inner retinal layers was reduced in hypoxemia. CONCLUSIONS: There is damage to tyrosine hydroxylase-immunoreactive amacrine cells during fetal chronic placental insufficiency. This damage might be involved in the altered retinal dopaminergic system observed in very low birth weight infants, some of whom are growth-restricted. Furthermore, a differential susceptibility of tyrosine hydroxylase-immunoreactive and neuronal nitric oxide synthase-containing amacrine cells to hypoxemic injury has been demonstrated. These observations add to the current hypothesis that neuronal nitric oxide synthase- containing neurons are resistant to hypoxemic injury and may be involved in mediating some of the neuronal damage that results from hypoxemic insults. (+info)Metabolic and cardiorespiratory responses to hypoxia in fetal sheep: adenosine receptor blockade. (5/214)
8-Phenyltheophylline (PT), a potent and specific inhibitor of adenosine receptors, was infused intra-arterially into unanesthetized fetal sheep to determine the role of adenosine in hypoxic inhibition of fetal breathing. PT in normoxic fetuses increased heart rate and the incidence of low-voltage electrocortical activity, rapid eye movements (REM), and breathing. Mean breath amplitude increased by 44%. Hypoxia (preductal arterial PO2 = 14 Torr) induced a metabolic acidemia, a transient bradycardia, and hypertension while virtually eliminating REM and breathing. PT administration during hypoxia enhanced the metabolic acidemia, blocked the bradycardia and hypertension, increased the incidence of REM and breathing, and elevated mean breath amplitude. The results indicate that 1) adenosine is involved in fetal glycolytic and cardiovascular responses to hypoxia, 2) activation of central adenosine receptors mediates about one-half the inhibitory effects of hypoxia on REM and breathing, and 3) the depression of breathing may critically depend on a hypoxia-induced reduction in phasic REM sleep. (+info)Measurement of the urinary lactate:creatinine ratio for the early identification of newborn infants at risk for hypoxic-ischemic encephalopathy. (6/214)
BACKGROUND: Newborn infants with perinatal asphyxia are prone to the development of hypoxic-ischemic encephalopathy. There are no reliable methods for identifying infants at risk for this disorder. METHODS: We measured the ratio of lactate to creatinine in urine by proton nuclear magnetic resonance spectroscopy within 6 hours and again 48 to 72 hours after birth in 58 normal infants and 40 infants with asphyxia. The results were correlated with the subsequent presence or absence of hypoxic-ischemic encephalopathy. RESULTS: Hypoxic-ischemic encephalopathy did not develop in any of the normal newborns but did develop in 16 of the 40 newborns with asphyxia. Within six hours after birth, the mean (+/-SD) ratio of urinary lactate to creatinine was 16.75+/-27.38 in the infants who subsequently had hypoxic-ischemic encephalopathy, as compared with 0.09+/-0.02 in the normal infants (P<0.001) and 0.19+/-0.12 in the infants with asphyxia in whom hypoxic-ischemic encephalopathy did not develop (P<0.001). A ratio of 0.64 or higher within six hours after birth had a sensitivity of 94 percent and a specificity of 100 percent for predicting the development of hypoxic-ischemic encephalopathy. The sensitivity and specificity of measurements obtained 48 to 72 hours after birth were much lower. The mean ratio of urinary lactate to creatinine was significantly higher in the infants who had adverse outcomes at one year (25.36+/-32.02) than in the infants with favorable outcomes (0.63+/-1.50) (P<0.001). CONCLUSIONS: Measurement of the urinary lactate: creatinine ratio soon after birth may help identify infants at high risk for hypoxic-ischemic encephalopathy. (+info)Hemodynamic and metabolic responses to moderate asphyxia in brain and skeletal muscle of late-gestation fetal sheep. (7/214)
The purpose of this study was to investigate metabolic and hemodynamic responses in two fetal tissues, hindlimb muscle and brain, to an episode of acute moderate asphyxia. Near-infrared spectroscopy was used to measure changes in total hemoglobin concentration ([tHb]) and the redox state of cytochrome oxidase (COX) simultaneously in the brain and hindlimb of near-term unanesthetized fetal sheep in utero. Oxygen delivery (DO(2)) to, and consumption (VO(2)) by, each tissue was derived from the arteriovenous difference in oxygen content and blood flow, measured by implanted flow probes. One hour of moderate asphyxia (n = 11), caused by occlusion of the maternal common internal iliac artery, led to a significant fall in DO(2) to both tissues and to a significant drop in VO(2) by the head. This was associated with an initial fall in redox state COX in the leg but an increase in the brain. [tHb], and therefore blood volume, fell in the leg and increased in the brain. These data suggest the presence of a fetal metabolic response to hypoxia, which, in the brain, occurs rapidly and could be neuroprotective. (+info)Fetal complications of obstetric cholestasis. (8/214)
Among 56 pregnancies complicated by obstetric cholestasis five intrauterine deaths and one neonatal death occurred between 33 and 39 weeks, and a further six infants required urgent delivery for intrapartum asphyxia. Eighteen spontaneous premature deliveries occurred. Five mothers required specific treatment for unexplained postpartum haemorrhage. Cholestasis of pregnancy is therefore not a condition benign to the fetus, and it may contribute to increased maternal morbidity. (+info)Fetal hypoxia is a medical condition that refers to a reduced level of oxygen supply to the fetus. This can occur due to various reasons, such as maternal health problems, complications during pregnancy or delivery, or issues with the placenta. Prolonged fetal hypoxia can lead to serious complications, including brain damage and even fetal death. It is important for healthcare providers to closely monitor fetal oxygen levels during pregnancy and delivery to ensure the well-being of the fetus.
Cardiotocography (CTG) is a technical means of monitoring the fetal heart rate and uterine contractions during pregnancy, particularly during labor. It provides visual information about the fetal heart rate pattern and the frequency and intensity of uterine contractions. This helps healthcare providers assess the well-being of the fetus and the progression of labor.
The cardiotocograph records two main traces:
1. Fetal heart rate (FHR): It is recorded using an ultrasound transducer placed on the mother's abdomen. The normal fetal heart rate ranges from 120 to 160 beats per minute. Changes in the FHR pattern may indicate fetal distress, hypoxia, or other complications.
2. Uterine contractions: They are recorded using a pressure sensor (toco) placed on the mother's abdomen. The intensity and frequency of uterine contractions can be assessed to evaluate the progression of labor and the effect of contractions on fetal oxygenation.
Cardiotocography is widely used in obstetrics as a non-invasive method for monitoring fetal well-being during pregnancy and labor. However, it should always be interpreted cautiously by healthcare professionals, considering other factors like maternal and fetal conditions, medical history, and clinical presentation. Overinterpretation or misinterpretation of CTG traces can lead to unnecessary interventions or delays in recognizing actual fetal distress.
Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.
Fetal growth retardation, also known as intrauterine growth restriction (IUGR), is a condition in which a fetus fails to grow at the expected rate during pregnancy. This can be caused by various factors such as maternal health problems, placental insufficiency, chromosomal abnormalities, and genetic disorders. The fetus may be smaller than expected for its gestational age, have reduced movement, and may be at risk for complications during labor and delivery. It is important to monitor fetal growth and development closely throughout pregnancy to detect any potential issues early on and provide appropriate medical interventions.
A fetus is the developing offspring in a mammal, from the end of the embryonic period (approximately 8 weeks after fertilization in humans) until birth. In humans, the fetal stage of development starts from the eleventh week of pregnancy and continues until childbirth, which is termed as full-term pregnancy at around 37 to 40 weeks of gestation. During this time, the organ systems become fully developed and the body grows in size. The fetus is surrounded by the amniotic fluid within the amniotic sac and is connected to the placenta via the umbilical cord, through which it receives nutrients and oxygen from the mother. Regular prenatal care is essential during this period to monitor the growth and development of the fetus and ensure a healthy pregnancy and delivery.
Cell hypoxia, also known as cellular hypoxia or tissue hypoxia, refers to a condition in which the cells or tissues in the body do not receive an adequate supply of oxygen. Oxygen is essential for the production of energy in the form of ATP (adenosine triphosphate) through a process called oxidative phosphorylation. When the cells are deprived of oxygen, they switch to anaerobic metabolism, which produces lactic acid as a byproduct and can lead to acidosis.
Cell hypoxia can result from various conditions, including:
1. Low oxygen levels in the blood (hypoxemia) due to lung diseases such as chronic obstructive pulmonary disease (COPD), pneumonia, or high altitude.
2. Reduced blood flow to tissues due to cardiovascular diseases such as heart failure, peripheral artery disease, or shock.
3. Anemia, which reduces the oxygen-carrying capacity of the blood.
4. Carbon monoxide poisoning, which binds to hemoglobin and prevents it from carrying oxygen.
5. Inadequate ventilation due to trauma, drug overdose, or other causes that can lead to respiratory failure.
Cell hypoxia can cause cell damage, tissue injury, and organ dysfunction, leading to various clinical manifestations depending on the severity and duration of hypoxia. Treatment aims to correct the underlying cause and improve oxygen delivery to the tissues.
Anoxia is a medical condition that refers to the absence or complete lack of oxygen supply in the body or a specific organ, tissue, or cell. This can lead to serious health consequences, including damage or death of cells and tissues, due to the vital role that oxygen plays in supporting cellular metabolism and energy production.
Anoxia can occur due to various reasons, such as respiratory failure, cardiac arrest, severe blood loss, carbon monoxide poisoning, or high altitude exposure. Prolonged anoxia can result in hypoxic-ischemic encephalopathy, a serious condition that can cause brain damage and long-term neurological impairments.
Medical professionals use various diagnostic tests, such as blood gas analysis, pulse oximetry, and electroencephalography (EEG), to assess oxygen levels in the body and diagnose anoxia. Treatment for anoxia typically involves addressing the underlying cause, providing supplemental oxygen, and supporting vital functions, such as breathing and circulation, to prevent further damage.
Hypoxia (medical)
Persistent fetal circulation
Fetal scalp blood testing
Birth injury
Sarnat staging
Retinopathy of prematurity
Chaos theory
Polycythemia
Carbon monoxide poisoning
Maxillary hypoplasia
Thrombocytopenia
Inferior vena cava syndrome
Respiratory disease
Fetal distress
Uterine tachysystole
Cerebral hypoxia
Meconium aspiration syndrome
TH (gene)
Phyllomedusa trinitatis
Hypoxia-inducible factor
Contraction stress test
Fetal circulation
Infantile hemangioma
Oxygen-hemoglobin dissociation curve
Cardiotocography
Barton Springs salamander
Hypothermia therapy for neonatal encephalopathy
Placental disease
Childhood acquired brain injury
Ming T. Tsuang
Asphyxia or just hypoxia? | ADC Fetal & Neonatal Edition
Preterm Fetal Hypoxia-Ischemia Causes Hypertonia and Motor Deficits in the Neonatal Rabbit: A Model for Human Cerebral Palsy? |...
"Insights image for "Evidence of increased hypoxia signalling in fetal liver from maternal nutrient restriction in mice"." by...
High-altitude ancestry protects against hypoxia-associated reductions in fetal growth | ADC Fetal & Neonatal Edition
New York Fetal Hypoxia | New York City Medical Malpractice Attorney
IP fetal hypoxia Archives - Meducination
Fetal brain sparing in a mouse model of chronic maternal hypoxia. - Oxford Neuroscience
Emergent Management of Abruptio Placentae: Overview, History, Physical Examination
Hypoxia (medical) - Wikipedia
Visiting seminars by Florida, UT-Southwestern faculty highlight week's agenda - University of Mississippi Medical Center
Expression and distribution of glucocorticoid receptors in the ovine fetal adrenal cortex: effect of long-term hypoxia. |...
Antenatal hypoxia and low IQ values
Hypoxia regulates insulin-like growth factor-binding protein 1 in human fetal hepatocytes in primary culture: Suggestive...
Ferroptosis: past, present and future | Cell Death & Disease
Dr Ana-Mishel Spiroski (PhD, MSc, BSc, FHEA, CSCS) | The University of Edinburgh
The Third National Health and Nutrition Examination Survey (NHANES III
Influence of nutrient restriction and melatonin supplementation of pregnant ewes on maternal and fetal pancreatic digestive...
Blood flow to fetal organs as a function of arterial oxygen content
Eclampsia: Overview, Etiologic and Risk Factors for Preeclampsia/Eclampsia, Multiorgan System Effects
Effects of Prenatal Nicotine Exposure on Primate Brain Development and Attempted Amelioration with Supplemental Choline or...
Hypoxia and Birth Injury Lawyers: How They Can Help You - Legal Reader
Sickle Cell Disease (SCD): Practice Essentials, Background, Genetics
Jack Rychik, MD | Children's Hospital of Philadelphia
Pitocin (oxytocin) dosing, indications, interactions, adverse effects, and more
Detail Natality, 1989-1990
Total Flavonoids from Carya cathayensis Sarg. Leaves Alleviate H9c2 Cells Hypoxia/Reoxygenation Injury via Effects on miR-21...
Noninvasive Fetal ECG: The PhysioNet/Computing in Cardiology Challenge 2013 v1.0.0
Restriction10
- Intrauterine growth restriction (IUGR) can be a consequence of decreased uterine blood flow (uteroplacental insufficiency) and maternal and fetal hypoxia. (ox.ac.uk)
- Primiparous ewes ( n =32) were assigned to dietary treatments in a 2×2 factorial arrangement to determine effects of nutrient restriction and melatonin supplementation on maternal and fetal pancreatic weight, digestive enzyme activity, concentration of insulin-containing clusters and plasma insulin concentrations. (cambridge.org)
- There is also a fetal manifestation of preeclampsia involving fetal growth restriction, reduced amniotic fluid, and abnormal fetal oxygenation. (medscape.com)
- Gestational hypoxia is a major contributor to fetal growth restriction (FGR) and perinatal morbidity and mortality and has been closely linked to the activation of the unfolded protein response (UPR) in the placenta. (researchgate.net)
- Taking tolcapone in mid-gestation barely caused embryo lethality, however, the mice developed preeclampsia-like phenotypes, including maternal hypertension, proteinuria and fetal growth restriction. (biorxiv.org)
- Administration of tolcapone in animal gestation has been implicated in fetal growth restriction and malformation, however, the studies are rather limited and the pathogenesis is unknown 10 . (biorxiv.org)
- Review of the literature supports that despite the existence of complications unique to monochorionic twin gestations, dichorionic twins sustain an increased risk of adverse perinatal outcome (such as fetal growth restriction) in comparison with singletons, and that close antenatal fetal surveillance of twins should be performed, irrespective of chorionicity. (thieme-connect.de)
- Both heterogeneity and tissue specialization of immune cells may hold the key to understanding the pathophysiology of some important pregnancy complications, such as miscarriage and fetal growth restriction (FGR), which is defined as the failure of the fetus to achieve its genetically determined growth potential. (elifesciences.org)
- it includes fetal growth restriction, facial and cardiovascular defects, and neurologic dysfunction. (msdmanuals.com)
- can cross the placenta, recreational use of marijuana use does not consistently appear to increase risk of congenital malformations or fetal growth restriction. (msdmanuals.com)
Pregnancy12
- Fetal hypoxia occurs when the baby is deprived of an adequate amount of oxygen during pregnancy. (1800nynylaw.com)
- Hypoxic stress is a common occurrence during human pregnancy, yet little is known about its effects on the fetal brain. (ox.ac.uk)
- The same was true for early pregnancy disorders that can produce acute fetal hypoxia. (nih.gov)
- Chronic fetal hypoxaemia is a common pregnancy complication that increases the risk of infants experiencing respiratory complications at birth. (researchgate.net)
- In turn, chronic fetal hypoxaemia promotes oxidative stress, and maternal antioxidant therapy in animal models of hypoxic pregnancy has proven to be protective with regards to fetal growth and cardiovascula. (researchgate.net)
- Reductions in uteroplacental flow initiate a cascade of molecular effects leading to hypoxia, thrombosis, inflammation, and endothelial cell dysfunction resulting in untoward pregnancy outcomes. (hindawi.com)
- Many OCs have been associated with schizophrenia, including complications during pregnancy, fetal and infant underdevelopment, and birth complications. (health.am)
- Pregnancy in young onset Parkinson's disease (YOPD) does not often occur, yet the medication in this condition is critical for maternal and fetal health. (biorxiv.org)
- Reginald Tucker] Cholera infections during pregnancy are associated with high rates of fetal death, especially when women are severely dehydrated. (cdc.gov)
- Although the relationship between fetal death and maternal age during cholera has not been documented, younger age is associated with increased risk for other adverse pregnancy outcomes. (cdc.gov)
- The relationship between fetal death and trimester of pregnancy is unclear. (cdc.gov)
- or methamphetamine have indirect fetal risks (eg, maternal stroke or death during pregnancy). (msdmanuals.com)
Fetuses6
- Preterm fetuses (67-70% gestation) were subjected to sustained global hypoxia. (jneurosci.org)
- Using high-frequency Doppler ultrasound, we found fetal cerebral and ductus venosus blood flow were both elevated by 69% and pulmonary blood flow was decreased by 62% in the fetuses exposed to chronic hypoxia compared to controls. (ox.ac.uk)
- However, hypoxia exposed fetuses were rendered vulnerable to an acute hypoxic challenge (8% O2 for 3 min), demonstrating global blood flow decreases consistent with imminent fetal demise rather than elevated cerebral blood flow. (ox.ac.uk)
- The data support a role for the fetal liver as a source of elevated circulating levels of IGFBP-1 in fetuses with in utero hypoxia and IUGR. (ox.ac.uk)
- Researchers at professor Soheli Ghaisi 's laboratory in the computer science and electrical engineering department have built a device to detect hypoxia in fetuses which can help decrease the number of unnecessary C-sections. (theaggie.org)
- We followed 112 fetuses with simultaneous continuous monitoring (cardiotocography (CTG), intrapartal fetal pulse oxymetry (IFPO), and analysis of ST segment in fetal electrocardiogram (STAN)) during labor. (prolekare.cz)
Electronic fetal hear2
- A widely used method of monitoring fetal distress is the use of an electronic fetal heart rate monitor. (1800nynylaw.com)
- ST segment analysis of the fetal electrocardiogram plus electronic fetal heart rate monitoring in labor and its relationship to umbilical cord arterial blood gases. (prolekare.cz)
Antenatal5
- Antenatal hypoxia-ischemia at preterm gestation results in hypertonia and abnormalities in motor control. (jneurosci.org)
- These findings provide a unique behavioral model to define mechanisms and sequelae of perinatal brain injury from antenatal hypoxia-ischemia. (jneurosci.org)
- By contrast, antenatal disorders and conditions that can produce subacute or chronic fetal hypoxia correlated with low IQ values. (nih.gov)
- These antenatal disorders and conditions were maternal gestational anemia, relative gestational hypotension, hypertension, multiple births, and fetal growth retardation. (nih.gov)
- Antenatal glucocorticoids accelerate fetal lung maturation and reduce mortality in preterm babies but can trigger adverse effects on the cardiovascular system. (researchgate.net)
Intrapartum fetal2
- There is significance to the findings or patterns on fetal heart tracings that are generally recognized as reflecting intrapartum fetal hypoxia and birth asphyxia (in other words, oxygen deprivation). (millerandzois.com)
- Cardiotocography only versus cardiotocography plus analysis of fetal electrocardiogram for intrapartum fetal monitoring: a Swedish randomised controlled trial. (prolekare.cz)
Intrauterine2
- Options for treating fetal distress include attempting intrauterine resuscitation by changing the mother's position, ensuring the mother is well-hydrated, ensuring the mother is adequately oxygenated, amnioinfusion to alleviate compression of the umbilical cord, tocolysis to stop contraction, or intravenous hypertonic dextrose. (1800nynylaw.com)
- Intrauterine hypoxia (IH) is a type of birth injury in which the fetus has been deprived of oxygen in the womb. (legalreader.com)
Risk for fetal1
- The risk for fetal death was highest in the third trimester, even after controlling for maternal age, dehydration level, and vomiting. (cdc.gov)
Effects of hypoxia1
- In this study, we developed a protocol to establish highly pure primary cultures of human fetal hepatocytes in vitro and investigated their expression of IGFBP-1 messenger RNA (mRNA) and protein and the effects of hypoxia on their expression of IGFBP-1 mRNA and protein. (ox.ac.uk)
Management of fetal1
- He is the author of a book entitled Fetal Cardiovascular Imaging: A Disease-Based Approach , which is considered one of the definitive texts on the subject of imaging and management of fetal heart disease. (chop.edu)
Chronic7
- Fetal brain sparing in a mouse model of chronic maternal hypoxia. (ox.ac.uk)
- This study examined the fetal hemodynamic responses to chronic hypoxia in an experimental mouse model of chronic maternal hypoxia (11% O2 from E14.5 to E17.5). (ox.ac.uk)
- This demonstrates that brain sparing persists during chronic fetal hypoxia and is mediated by "streaming," where highly oxygenated blood preferentially flows through the ductus venosus towards the cerebral circulation, bypassing the liver and the lungs. (ox.ac.uk)
- Despite this vulnerability, there were no differences in adult brain morphology in the mice exposed to chronic maternal hypoxia compared to controls. (ox.ac.uk)
- Chronic obstructive pulmonary disease (COPD) Neuromuscular diseases or interstitial lung disease Malformed vascular system such as an anomalous coronary artery[citation needed] Hypoxemic hypoxia is a lack of oxygen caused by low oxygen tension in the arterial blood, due to the inability of the lungs to sufficiently oxygenate the blood. (wikipedia.org)
- Developmental Programming of Pulmonary Hypertension by Isolated Chronic Prenatal Hypoxia. (ed.ac.uk)
- Accelerated Ovarian Ageing Induced by Chronic Fetal Hypoxia. (ed.ac.uk)
Hypoxic8
- Hypoxia can be due to external causes, when the breathing gas is hypoxic, or internal causes, such as reduced effectiveness of gas transfer in the lungs, reduced capacity of the blood to carry oxygen, compromised general or local perfusion, or inability of the affected tissues to extract oxygen from, or metabolically process, an adequate supply of oxygen from an adequately oxygenated blood supply. (wikipedia.org)
- Hypoxic hypoxia, sometimes also referred to as generalised hypoxia. (wikipedia.org)
- Generalised, or hypoxic hypoxia may be caused by: Hypoventilation - insufficient ventilation of the lungs due to any cause (fatigue, excessive work of breathing, barbiturate poisoning, pneumothorax, sleep apnea etc. (wikipedia.org)
- This definition overlaps considerably with that of hypoxic hypoxia. (wikipedia.org)
- Developmental hypoxia has profound and persistent effects on the vertebrate cardiovascular system, but the nature, magnitude and long-term outcome of the hypoxic consequences are species-specific. (researchgate.net)
- These can be loosely defined as peripartum in nature, such as placental abruption, vasa praevia (a condition where fetal blood vessels cross the external orifice of the uterus and often rupture), or a hypoxic-ischemic event at birth ( 2 , 3 ). (frontiersin.org)
- If this message of declining oxygenation status and loss of fetal reserves is not heard, the fetus is at serious risk for experiencing hypoxic-ischemic injury. (millerandzois.com)
- However, neonatal A(1)R(-/-) mice appeared to have more frequently periods of apnea during hypoxia and in the post-hypoxic control period. (uni-regensburg.de)
Distress8
- This allows the doctor to quickly respond to fetal distress and avoid or minimize brain damage. (1800nynylaw.com)
- Fetal distress was defined multiparas. (who.int)
- Since the late 19th century, decelerations of fetal heart rate have been known to be associated with fetal distress. (physionet.org)
- What Is Fetal Distress? (millerandzois.com)
- Fetal distress means the womb has become a hostile environment. (millerandzois.com)
- What Are the Signs of Fetal Distress or a Non-Reassuring Heart Rate? (millerandzois.com)
- The main signs of fetal distress are fetal bradycardia or tachycardia, late, persistent, or variable decelerations, and the absence of beat to beat variability in the heart rate. (millerandzois.com)
- So many birth injury malpractice cases are the result of doctors and nurses going to extremes in the face of fetal distress. (millerandzois.com)
Preeclampsia1
- In mammals, this can occur as a result of maternal hypoxia, preeclampsia as well as anemia in the fetus resulting in less red blood cells that can carry oxygen. (scienceblogs.com)
Oxygenation3
- To improve blood oxygenation, infants at risk of hypoxia may be placed inside incubators that provide warmth, humidity, and supplemental oxygen. (wikipedia.org)
- Hypoxemia refers to a reduction in arterial oxygenation below the normal range, regardless of whether gas exchange is impaired in the lung, arterial oxygen content (CaO2 - which represents the amount of oxygen delivered to the tissues) is adequate, or tissue hypoxia exists. (wikipedia.org)
- This treatment may be unnecessary, but it is given to mimic sea-level oxygenation and to promote the transition from fetal to adult physiology. (medscape.com)
Intermittent2
- Mild, non-damaging intermittent hypoxia is used intentionally during altitude training to develop an athletic performance adaptation at both the systemic and cellular level. (wikipedia.org)
- Intermittent observations of fetal heart sounds (auscultation) became standard clinical practice by the mid-20th century. (physionet.org)
Developmental Hypoxia1
- Non-Invasive Biomarkers of Cardiovascular Dysfunction in Adult Offspring Programmed by Developmental Hypoxia. (ed.ac.uk)
Especially hypoxia1
- Birth injuries can take a mental and financial toll on families, especially hypoxia. (legalreader.com)
Acidosis1
- Fetal death may occur due to fetal hypoxia and acidosis resulting from excessive maternal dehydration. (cdc.gov)
Pregnancies5
- IGFBP-1 is elevated in the fetal circulation of human and animal pregnancies complicated by IUGR caused by placental insufficiency and in utero hypoxia and is believed to restrict fetal growth by sequestering IGFs. (ox.ac.uk)
- Fetal death occurred in 141 of the 900 analyzed pregnancies, more often in women less than 20 years of age, in their third trimester, seeking treatment more than 24 hours after symptom onset, with severe dehydration or who vomited. (cdc.gov)
- Fetal death occurred in 141 of 900 pregnancies. (cdc.gov)
- Hypoxia index in the prediction of abnormal CTG at delivery in uncomplicated pregnancies. (nel.edu)
- Ropacka-Lesiak M, Korbelak T, Breborowicz G. Hypoxia index in the prediction of abnormal CTG at delivery in uncomplicated pregnancies. (nel.edu)
Anoxia1
- Hypoxia in which there is complete absence of oxygen supply is referred to as anoxia. (wikipedia.org)
Complications1
- Generalized hypoxia occurs in healthy people when they ascend to high altitude, where it causes altitude sickness leading to potentially fatal complications: high altitude pulmonary edema (HAPE) and high altitude cerebral edema (HACE). (wikipedia.org)
Growth3
- Slow fetal growth. (1800nynylaw.com)
- Insulin-like growth factors (IGFs) and their binding proteins (IGFBPs) are key elements in fetal growth. (ox.ac.uk)
- Indeed, maternal ILC2s promote fetal growth and protect against fetal mortality upon systemic endotoxin challenge. (elifesciences.org)
Placental2
- The aim of the study was to investigate potential influence of placental tumors on fetal outcome. (nel.edu)
- Although effects are poorly understood, fetal vasoconstriction and hypoxia are likely, and there is a risk of stillbirth, placental abruption, and possibly congenital malformations. (msdmanuals.com)
Utero2
- In view of the major contribution of intrapartum risk factors and prematurity to subsequent neurological morbidity and mortality, studies are needed that address the underlying mechanisms of brain injury that occur in utero to the immature and near-term fetal CNS. (jneurosci.org)
- Fetal Alcohol Syndrome Alcohol exposure in utero increases the risk of spontaneous abortion, decreases birth weight, and can cause fetal alcohol syndrome, a constellation of variable physical and cognitive abnormalities. (msdmanuals.com)
Alleviate2
- In some situations the only option to alleviate fetal hypoxia is to deliver the baby via emergency c-section. (1800nynylaw.com)
- leaves alleviate hypoxia/reoxygenation (H/R) injury in H9c2 cardiomyocytes and to explore potential mechanisms. (hindawi.com)
Abnormal1
- Pulmonary hypoxia is hypoxia from hypoxemia due to abnormal pulmonary function, and occurs when the lungs receive adequately oxygenated gas which does not oxygenate the blood sufficiently. (wikipedia.org)
Infants3
- Prenatal hypoxia-ischemia to the developing brain has been strongly implicated in the subsequent development of the hypertonic motor deficits of cerebral palsy (CP) in premature and full-term infants who present with neonatal encephalopathy. (jneurosci.org)
- Hypoxia is a common complication of preterm birth in newborn infants. (wikipedia.org)
- Continuous FHR monitoring was expected to result in dramatic reduction of undiagnosed fetal hypoxia, but disillusionment rapidly set in as studies showed that the outputs of FHR monitors were often unreliable and difficult to interpret, resulting in increased rates of Caesarean deliveries of healthy infants, with little evidence that reductions in adverse outcomes were attributable to the use of FHR monitors. (physionet.org)
Physiology4
- Although hypoxia is often a pathological condition, variations in arterial oxygen concentrations can be part of the normal physiology, for example, during strenuous physical exercise. (wikipedia.org)
- Dr. Charles E. Wood, professor and chair of physiology and functional genomics at the University of Florida College of Medicine, will present "Hypoxia, Stress and Fetal Brain Inflammation: What's the Microbiome Got to Do with It? (umc.edu)
- Our understanding of fetal cardiovascular physiology has markedly increased in the last 50 years, with the introduction of suitable animal models. (researchgate.net)
- A new study published this month in American Journal of Physiology - Regulatory, Integrative and Comparative Physiology looked at what happens in the egg when a chicken fetus was exposed to low oxygen (hypoxia) conditions. (scienceblogs.com)
Tissues2
- Hypoxia exists when there is a reduced amount of oxygen in the tissues of the body. (wikipedia.org)
- Fetal brain regions and peripheral tissues were examined for nAChR subtypes, other neurotransmitter receptors, and indices of cell signaling and cell damage. (nature.com)
Severe5
- On the other hand failure to monitor the baby despite the presence of risk factors may amount to medical negligence, and should be discussed with a New York fetal hypoxia lawyer if your baby sustained a severe birth injury as a result of fetal hypoxia. (1800nynylaw.com)
- If your baby suffered a severe injury such as brain damage due to fetal hypoxia, and you believe that it was caused by the negligence of your doctor, nurse or other medical professional, it is important that you have experienced representation. (1800nynylaw.com)
- The blood flow to kidneys, digestive tract, pancreas, and carcass had a tendency to remain constant or increase gradually in the transition from high to moderately low levels of arterial O2 content and then to decrease abruptly in more severe hypoxia. (nih.gov)
- Weak evidence of a difference in effect of severe dehydration and postadmission fetal death between TGs was potentially due to a lower rate among severely dehydrated women in TG2. (cdc.gov)
- Severe dehydration at admission increased risk of fetal death. (cdc.gov)
Gestation2
- In the present study, a new neurobehavioral battery of tests was used to characterize the motor performance of newborn pups after sustained hypoxia-ischemia to the preterm rabbit fetus at 67-70% gestation. (jneurosci.org)
- Ewes were maintained at 3820 m from approximately 30 to 138 to 140 days' gestation , and fetal adrenals were collected. (bvsalud.org)
Oxygen10
- Hypoxia is a condition in which the body or a region of the body is deprived of adequate oxygen supply at the tissue level. (wikipedia.org)
- Hypoxia differs from hypoxemia and anoxemia, in that hypoxia refers to a state in which oxygen present in a tissue or the whole body is insufficient, whereas hypoxemia and anoxemia refer specifically to states that have low or no oxygen in the blood. (wikipedia.org)
- Hypoxia also occurs in healthy individuals when breathing inappropriate mixtures of gases with a low oxygen content, e.g., while diving underwater, especially when using malfunctioning closed-circuit rebreather systems that control the amount of oxygen in the supplied air. (wikipedia.org)
- Lack of oxygen to the fetus, termed fetal hypoxia, likely is involved in many OCs associated with schizophrenia. (health.am)
- The fetal monitor really is mostly about oxygen. (millerandzois.com)
- If the fetal monitoring strips indicate that the baby does not have the oxygen it needs, doctors are often required to deliver the child right away by cesarean delivery because the baby cannot tolerate the hostile environment any longer. (millerandzois.com)
- Fetal hypoxia is a condition where the fetus is not delivered enough oxygen to continue growing. (theaggie.org)
- The transabdominal fetal pulse oximeter (TFO) i s used similarly to ultrasound transducers and generates a graphical user interface to calculate the oxygen saturation content, Kasap explained. (theaggie.org)
- Fetal Oxygen Sensor FS-14 Series. (prolekare.cz)
- Fetal Oxygen Sensor Placement Quick Guide. (prolekare.cz)
Mice2
- Under control conditions (21% O-2) and mild hypoxia (12-15% O-2) no difference of respiratory parameters was observed between adult wildtype (A(1)R(+/+)) and A(1)R(-/-) mice. (uni-regensburg.de)
- In neonatal mice, the respiratory response to hypoxia was surprisingly similar in both genotypes. (uni-regensburg.de)
Birth6
- Hypoxia-ischemia (H-I) is also associated with subsequent cerebral injury in a disproportionately high percentage of the survivors of premature birth ( Volpe, 2001 ). (jneurosci.org)
- So if you have a child who has recently been injured by hypoxia, it's time to seek legal help from a professional birth injury attorney. (legalreader.com)
- These lawyers have experience handling cases involving hypoxia and other birth injuries. (legalreader.com)
- Most birth injury medical malpractice lawsuits involve interpretation of fetal monitoring strips. (millerandzois.com)
- It is the rare plaintiff's case that electronic fetal monitoring alone could have prevented the birth injury. (millerandzois.com)
- Fetal heart rate patterns and ECG ST segment changes preceeding metabolic acidaemia at birth. (prolekare.cz)
Malformation1
- Congenital high airway obstruction syndrome (CHAOS) is a very rare fetal malformation caused by obstruction of fetal airway because of l. (nel.edu)
Liver2
- Consistent with these changes in blood flow, the fetal brain volume measured by MRI is preserved, while the liver and lung volumes decreased compared to controls. (ox.ac.uk)
- Hepatocyte cultures were characterized by immunocytochemistry and were compared with hepatocytes in situ in human fetal liver tissue, by immunohistochemistry, using specific antibodies and indirect immunofluorescence. (ox.ac.uk)
Lungs1
- Blood flow to the fetal lungs decreased progressively with hypoxia. (nih.gov)
Preterm1
- Preterm Fetal Hypoxia-Ischemia Causes Hypertonia and Motor Deficits in the Neonatal Rabbit: A Model for Human Cerebral Palsy? (jneurosci.org)
Baby's3
- An electronic monitor alerts the doctor to hypoxia and the baby's response to hypoxia. (1800nynylaw.com)
- Moreover, the baby's kicks indicate good fetal health and development. (momjunction.com)
- Fetal heart rate monitoring is the process by which doctors and nurses use electronic devices to track the baby's heart rate in response to contractions during labor and delivery. (millerandzois.com)
Asphyxia1
- Asphyxia or just hypoxia? (bmj.com)
Lawyer2
- If your baby has brain damage from fetal hypoxia that you believe was caused by your doctor's negligence, immediately contact an experienced New York fetal hypoxia lawyer who will carefully review your medical records and explain your legal options. (1800nynylaw.com)
- In this article, you'll learn more about what exactly hypoxia is and how a lawyer can seek compensation for your case. (legalreader.com)
Cardiovascular1
- He serves on the editorial board of numerous national and international journals, and is a frequent lecturer and presenter at national and international pediatric cardiac conferences on complex cardiovascular disease in both fetal and pediatric patients. (chop.edu)
Occurs1
- As we have seen, this is precisely what occurs in individuals with a history of hypoxia-associated OCs, who typically have an earlier age of onset and more pronounced neuroanatomical abnormalities. (health.am)
Newborn1
- The nucleoside adenosine has been implicated in the regulation of respiration, especially during hypoxia in the newborn. (uni-regensburg.de)
Outcome1
- Thirty-six were excluded from analysis: 33 lacked fetal outcome data and 3 died. (cdc.gov)
Heart11
- Jack Rychik, MD, is Director of the Fetal Heart Program and the Fontan Rehabilitation, Wellness, Activity and Resilience Development (FORWARD) Program at Children's Hospital of Philadelphia. (chop.edu)
- As the Director of the Fetal Heart Program and the Fontan Rehabilitation, Wellness, Activity and Resilience Development (FORWARD) Program at Children's Hospital of Philadelphia (CHOP), Dr. Rychik specializes in the early detection and long-term treatment of complex forms of heart disease and developmental abnormalities. (chop.edu)
- The mission of the Fetal Heart Program is to offer compassionate, state-of-the-art care to the fetus and the family. (chop.edu)
- This year's challenge invites participants to develop software capable of detecting fetal QRS complexes in multichannel noninvasive ECG recordings, making accurate estimates of fetal heart rate, RR intervals, and QT intervals. (physionet.org)
- The first fetal heart rate (FHR) monitors were developed more than 50 years ago, and became widely available by the mid-1970s. (physionet.org)
- This allows the labor and delivery health care providers to follow the fetal heart rate and how it responds to contractions. (millerandzois.com)
- The question is whether the doctors listen to the baby talking to them with a non-reassuring fetal heart rate that suggests the fetus is not tolerating the labor and delivery process. (millerandzois.com)
- What Is Fetal Heart Rate Monitoring? (millerandzois.com)
- So a good OB will recognize and understand the significance of fetal heart tracing abnormalities such as bradycardia, tachycardia, late and variable decelerations and diminished or absent long term or short term variability. (millerandzois.com)
- 6. Kűhnert, M., Schmidt, S. Intrapartum management of nonreassuring fetal heart rate patterns: A randomized controlled trial of fetal pulse oximetry. (prolekare.cz)
- STAN S21 fetal heart monitor for fetal surveillance during labor: an observational study in 637 patients. (prolekare.cz)
Pregnant2
- A total of 436 pregnant jeopardize maternal and fetal well-being women were recruited for the study who and in which there are no contraindications had a clinically unfavourable cervix and in- to the use of labour induction methods. (who.int)
- In April 2012, MSF established a CTC to improve fetal outcomes in pregnant women by facilitating intensive follow- up for dehydration and rapid access to obstetric and neonatal services. (cdc.gov)
Hemoglobin1
- The fetal hemoglobin may play a protective role against coronavirus in neonates. (thieme-connect.com)
Responses1
- However, the population living in the United States is genetically mixed and has varied responses to the added stress of altitude-induced hypoxia. (medscape.com)
Nicotine2
- Our results indicate that nicotine elicits neurodevelopmental damage that is highly selective for different brain regions, and that dietary supplements ordinarily thought to be neuroprotectant may actually worsen some of the adverse effects of nicotine on the fetal brain. (nature.com)
- Essentially, by providing excessive cholinergic stimulation throughout fetal life, nicotine discoordinates the numerous events in cell replication, differentiation and synaptic development that are necessary to the proper assembly of the mammalian brain. (nature.com)
Arterial1
- In a sheep preparation the blood flow to fetal organs was studied 3 to 10 days after surgery by means of the microsphere technique over a range of fetal arterial O2 content from 6 to 1 mM. (nih.gov)
Brain2
- Second, the larger amounts of tissue available from fetal monkey brain enables determinations to be carried out more readily in specified regions and subregions. (nature.com)
- Both infection and proinflammatory cytokines have been linked to increased fetal hypoxia, which has been associated with schizophrenia and many of the brain abnormalities linked to the disorder. (health.am)
Cerebral1
- Most previous studies have employed models of cerebral hypoxia-ischemia in postnatal animals. (jneurosci.org)
Pediatric2
- Dr. Rychik has authored more than 250 peer-reviewed research publications, books, reviews, and chapters on fetal and pediatric cardiac disorders and treatment. (chop.edu)
- She's also the Associate Director for Maternal Fetal Health and Environment Program for the UCSF Pediatric and Environmental Health Specialty Unit, PEHSU, and a member of UCSF's program in reproductive health and environment. (cdc.gov)
Demonstrates1
- This study demonstrates that human fetal hepatocytes can be cultured in defined medium, as primary cultures with high purity, and that they express IGFBP-1 mRNA and secrete IGFBP-1 protein in vitro. (ox.ac.uk)