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Reproductive Sciences
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Article

Heart Rate Variability Analysis Allows Early Asphyxia Detection in Ovine Fetus

Martin Gerbert Frasch, MD, PhD*, Thomas Mueller, DVM, Christian Weiss, MD, Karin Schwab, MSc, Harald Schubert, PhD, and Matthias Schwab, MD, PhD

* To whom correspondence should be addressed. E-mail: mfrasch{at}uwo.ca.


  Abstract

Fetal heart rate (FHR) monitoring is commonly used to predict asphyxia but clinical and experimental studies have questioned its diagnostic value. We examined the usefulness of fetal heart rate variability (fHRV) measures in detecting early asphyxia using chronically instrumented fetal sheep under normoxic (n = 6) and asphyxic conditions (3 umbilical cord occlusions, n = 6). The occlusions consistently led to pH decreases from 7.35 ± 0.01 to 7.09 ± 0.03 (P < .05). FHR showed biphasic deceleration during each occlusion, associated with increasing arterial blood pressure (P < .05). RMSSD, an index of vagal modulation of fHRV, increased consistently during repeated occlusion induced FHR decelerations (P < .05). Under normoxic conditions, RMSSD did not change during FHR decelerations and decreased during FHR accelerations (P < .05). Our results suggest that an increase of RMSSD in association with FHR decelerations reflects initial vagal activation during fetal asphyxia. RMSSD may accurately identify asphyxic fetuses early. Clinical validation is needed.

First published on January 22, 2009, doi:10.1177/1933719108327597

Reproductive Sciences 2009;16:509.

A more recent version of this article appeared on May 1, 2009

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Home page
 Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
M. G. Frasch, T. Muller, D. Hoyer, C. Weiss, H. Schubert, and M. Schwab
Nonlinear properties of vagal and sympathetic modulations of heart rate variability in ovine fetus near term
Am J Physiol Regulatory Integrative Comp Physiol, March 1, 2009; 296(3): R702 - R707.
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