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An unusual cause and treatment of decelerations in fetal heart rate
1Department of Obstetrics and Gynecology, Metropolitan Hospital Center, New York, NY 10029.
Decelerations of severe degree were detected during the monitoring of fetal heart rate at term. Decelerations continued despite the usual maneuvers in patient's position. Examination by ultrasound revealed that a loop of umbilical cord was held and squeezed in the fetal fist. The oxytocin infusion stimulated strong and frequent fetal movements which caused the fetal grip on umbilical cord to release and FHR decelerations to disappear. Induced labor progressed rapidly and within 5 h a healthy term infant was delivered.
Decelerations of severe degree were detected during the monitoring of fetal heart rate at term. Decelerations continued despite the usual maneuvers in patient's position. Examination by ultrasound revealed that a loop of umbilical cord was held and squeezed in the fetal fist. The oxytocin infusion stimulated strong and frequent fetal movements which caused the fetal grip on umbilical cord to release and FHR decelerations to disappear. Induced labor progressed rapidly and within 5 h a healthy term infant was delivered.