Key result
Conservative management of fetal sinus bradycardia yields spontaneous resolution and normal delivery at term.
Why the study?
This case report aimed to describe a presentation of extended fetal sinus bradycardia that resolved spontaneously.
Case Report (n=1)
Isolated fetal sinus bradycardia without structural cardiac malformations or hydrops can resolve spontaneously with conservative management, and fetal echocardiography facilitates accurate diagnosis.
Answers are grounded in this paper and cite their sources.
May support conservative management in isolated fetal sinus bradycardia; leaves open need for larger studies before practice change.
The purpose of this case report is to summarize a case of fetal sinus bradycardia resolving spontaneously.In this case report, we summarized a pregnant woman at 22 nd gestational week with fetal bradycardia.There was no medical history about fetal bradycardia.Physical examination was normal.Detailed fetal ultrasound examination and fetal echocardiography were also normal.There were no cardiac malformation and fetal hydrops.Fetal bradycardia was diagnosed by M-mode Doppler ultrasound.Heart beat was 78/min.The family was informed about the situation and followed conservatively.After 2 weeks of follow-up, fetal heart rate had returned to its normal pattern.She delivered at 39 th gestational week.Postpartum fetal physical and cardiac examinations were normal.The widespread use of fetal echocardiography in the diagnosis of fetal bradycardia among obstetricians would facilitate the determination of the type of fetal bradycardia.(JAREM 2015; 5: 139-41)
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Gençdal et al. (2015) conducted a case report in Fetal sinus bradycardia (n=1). Conservative follow-up with M-mode Doppler ultrasound and fetal echocardiography was evaluated on Spontaneous resolution of fetal bradycardia and normal postpartum examination. Conservative management of fetal sinus bradycardia (78/min at 22 weeks) resulted in spontaneous return to normal heart rate pattern after 2 weeks and normal delivery at 39 weeks.
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