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Heart Rate Variability and Pregnancy Complications: Systematic Review
Zahra Sharifi-Heris1, Amir M Rahmani1, Anna Axelin2
1University of California Irvine, Irvine, CA, United States.
Interactive Journal of Medical Research
|June 5, 2023
Summary
The autonomic nervous system (ANS) impacts pregnancy adaptations. Heart rate variability (HRV) shows links to fetal growth complications, but not gestational diabetes mellitus, indicating a need for more research.
Area of Science:
- Obstetrics and Gynecology
- Cardiology
- Neurology
Background:
- The autonomic nervous system (ANS) is crucial for regulating pregnancy adaptations.
- Dysfunction of the ANS can lead to life-threatening pregnancy complications.
- Understanding ANS mechanisms in pregnancy is vital for monitoring and management.
Purpose of the Study:
- To systematically review the literature on the association between heart rate variability (HRV) and pregnancy complications.
- HRV serves as a biomarker for autonomic nervous system (ANS) function.
Main Methods:
- Comprehensive literature search across multiple databases (PubMed, Medline, CINAHL, Web of Science, Cochrane, SCOPUS) in February 2022.
- Included studies examining the association between any pregnancy complication and HRV.
- Followed PRISMA guidelines for systematic review and Covidence software for study selection.
Main Results:
- 12 studies involving 6656 participants were included in the review.
- Findings suggest a link between ANS function and complications like fetal growth restriction.
- No significant association was found between ANS and gestational diabetes mellitus; evidence for CNS/pulmonary disorders was insufficient.
Conclusions:
- This review underscores the importance of monitoring ANS function during pregnancy.
- Further research with robust methodologies is needed to elucidate ANS mechanisms in pregnancy adaptations and complications.
Keywords:
autonomic nervous systemfetal growthglobal developmental delayheart rate variabilityhypertensionhypertensive disordermaternalpregnancypregnancy complicationMore Related Videos
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