American journal of perinatology · 2026
Fetal and Neonatal Heart Rate Trends in Preterm Delivery: A Clinical Study from the Week before to the Week after Birth.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Eenkhoorn Chantal, Goos Tom G, Franx Arie, Dankelman Jenny, Taal H Rob, Willemsen Sten P, Eggink Alex J
Аннотация
OBJECTIVE: This study aimed to explore the fetal heart rate trend in the week before birth, the transition from fetal to neonatal heart rate, and the neonatal heart rate trend in the week after birth in preterm neonates admitted to a tertiary care hospital, considering maternal and neonatal factors.
STUDY DESIGN: A retrospective cohort study was conducted, including neonates born between 24 and 34 weeks of gestation. Baseline heart rate, average deceleration capacity, standard deviation, skewness, and sample entropy were assessed using interrupted time series and difference-in-differences analyses. Subgroup analyses were performed according to gestational age at birth, sex, birth weight, mode of delivery, Apgar score at 5 minutes, umbilical cord pH, and neonatal medication.
RESULTS: The fetal and neonatal heart rate of 123 patients was analyzed. After birth, step change of baseline (2.23 bpm, p < 0.05), average deceleration capacity (0.43 bpm, p < 0.001), and skewness (0.47 nu, p < 0.001) increased, while sample entropy (-0.68 bits, p < 0.001) and standard deviation (-1.15 bpm, p < 0.001) decreased. Postnatally, baseline increased in linear slope and decreased in quadratic slope (both p < 0.001). Average deceleration capacity decreased in linear slope (p < 0.001). Sample entropy and standard deviation increased in linear slopes (both p < 0.001). Skewness increased in quadratic slope (p < 0.05). Subgroup analyses revealed that delivery mode, medication, and birth weight modulated these trends.
CONCLUSION: This study provides unique insights into heart rate frequency and variability trends during the period around preterm birth. It highlights the dynamic physiological adaptation that occurs during the transition from intrauterine to extrauterine life in preterm infants and may help inform future research on fetal and neonatal monitoring and clinical management.
KEY POINTS: · Heart rate frequency and variability dynamics were assessed around preterm birth in a NICU cohort.. · After birth, heart rate frequency increased while variability measures decreased.. · Heart rate frequency and variability differed by gestational age, birth weight, medication, and delivery mode..
STUDY DESIGN: A retrospective cohort study was conducted, including neonates born between 24 and 34 weeks of gestation. Baseline heart rate, average deceleration capacity, standard deviation, skewness, and sample entropy were assessed using interrupted time series and difference-in-differences analyses. Subgroup analyses were performed according to gestational age at birth, sex, birth weight, mode of delivery, Apgar score at 5 minutes, umbilical cord pH, and neonatal medication.
RESULTS: The fetal and neonatal heart rate of 123 patients was analyzed. After birth, step change of baseline (2.23 bpm, p < 0.05), average deceleration capacity (0.43 bpm, p < 0.001), and skewness (0.47 nu, p < 0.001) increased, while sample entropy (-0.68 bits, p < 0.001) and standard deviation (-1.15 bpm, p < 0.001) decreased. Postnatally, baseline increased in linear slope and decreased in quadratic slope (both p < 0.001). Average deceleration capacity decreased in linear slope (p < 0.001). Sample entropy and standard deviation increased in linear slopes (both p < 0.001). Skewness increased in quadratic slope (p < 0.05). Subgroup analyses revealed that delivery mode, medication, and birth weight modulated these trends.
CONCLUSION: This study provides unique insights into heart rate frequency and variability trends during the period around preterm birth. It highlights the dynamic physiological adaptation that occurs during the transition from intrauterine to extrauterine life in preterm infants and may help inform future research on fetal and neonatal monitoring and clinical management.
KEY POINTS: · Heart rate frequency and variability dynamics were assessed around preterm birth in a NICU cohort.. · After birth, heart rate frequency increased while variability measures decreased.. · Heart rate frequency and variability differed by gestational age, birth weight, medication, and delivery mode..