Checkmark fetal heart rate pattern associated with severe fetal hypoxia

A case report

Satoshi Kashiwagi, Kei Miyakoshi, Hitoshi Ishimoto, Mamoru Tanaka, Yasunori Yoshimura

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

A 31-year-old nulliparous woman developed vaginal bleeding after spontaneous rupture of the membranes at 40 weeks of gestation. Fetal heart rate monitoring showed checkmark and sinusoidal patterns. A 3,281 g male neonate was delivered by emergency cesarean section, with Apgar scores of 1 and 3 at 1 and 5 min, respectively. The neonate exhibited severe acidosis with arterial blood gas pH of 6.96, and was diagnosed to have severe hypoxic-ischemic encephalopathy. An umbilical artery branch was noted in the membrane near the cervical os and found to be torn, representing hemorrhagic vasa previa. Severe fetal hypoxia resulting from hemorrhagic vasa previa might be associated with checkmark fetal heart rate pattern.

Original languageEnglish
Pages (from-to)237-239
Number of pages3
JournalFetal Diagnosis and Therapy
Volume18
Issue number4
DOIs
Publication statusPublished - 2003

Fingerprint

Vasa Previa
Fetal Hypoxia
Fetal Heart Rate
Newborn Infant
Brain Hypoxia-Ischemia
Umbilical Arteries
Spontaneous Rupture
Membranes
Apgar Score
Uterine Hemorrhage
Acidosis
Cesarean Section
Emergencies
Gases
Pregnancy

Keywords

  • Checkmark fetal heart rate pattern
  • Fetal hypoxia

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Checkmark fetal heart rate pattern associated with severe fetal hypoxia : A case report. / Kashiwagi, Satoshi; Miyakoshi, Kei; Ishimoto, Hitoshi; Tanaka, Mamoru; Yoshimura, Yasunori.

In: Fetal Diagnosis and Therapy, Vol. 18, No. 4, 2003, p. 237-239.

Research output: Contribution to journalArticle

Kashiwagi, Satoshi ; Miyakoshi, Kei ; Ishimoto, Hitoshi ; Tanaka, Mamoru ; Yoshimura, Yasunori. / Checkmark fetal heart rate pattern associated with severe fetal hypoxia : A case report. In: Fetal Diagnosis and Therapy. 2003 ; Vol. 18, No. 4. pp. 237-239.
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