Key result
Cardiac arrhythmias of any kind were detected by ECG in 82.3% of parturients at term with no cardiovascular pathology during labour, displaying a benign nature with no clinical risk.
Why the study?
Are maternal arrhythmias detected with electrocardiography during labour clinically significant in healthy parturients?
Observational
Are maternal arrhythmias detected with electrocardiography during labour clinically significant in healthy parturients?
Arrhythmias are highly prevalent during labour in healthy women but are benign and do not pose clinical risks to the mother or baby.
Answers are grounded in this paper and cite their sources.
Arrhythmias common in healthy labouring women warrant no intervention; leaves open questions on routine ECG monitoring value.
This study examines the maternal and fetal effects of arrhythmias detected by electrocardiographic (ECG) monitoring during labour in parturients at term, with no cardiovascular pathology. Pregnant cases were classified into three groups based on determined stages of labour and a standard 12-lead surface electrocardiogram and long-lead 2 rhythm strips were recorded during the labour. Cardiac arrhythmia of any kind was detected in 82.3% of patients in all stages of labour. Sinus tachycardia was the most commonly observed arrhythmia. Arrhythmias in the form of supraventricular tachycardia, T-wave inversion and ventricular extrasystole were also detected. The highest rate of arrhythmia was recorded for the active phase and 2nd phase of labour. Arrhythmias that are detected by ECG during or after the labour in patients with no cardiovascular pathology display a benign nature and do not create any clinical risk for the mother and the baby.
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Köşüş et al. (2011) conducted an observational in Pregnancy at term in labour. ECG monitoring during labour was evaluated on Cardiac arrhythmia of any kind. Cardiac arrhythmias of any kind were detected by ECG in 82.3% of parturients at term with no cardiovascular pathology during labour, displaying a benign nature with no clinical risk.
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