Evidence map›Paper›PMID 35596699›Full record

ReviewBJOG : an international journal of obstetrics and gynaecology2022

Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies.

Mikko J Tarvonen, Christopher A Lear, Sture Andersson, Alistair J Gunn, Kari A Teramo

Abstract readReview
In one paragraph

Review in BJOG : an international journal of obstetrics and gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Study on the clinical value of the wearable foetal electrocardiogram monitoring system.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
    Article
  10. Article
  11. Article
  12. Fetal heart rate responses to maternal sleep-disordered breathing.American journal of obstetrics and gynecology · 2023
    Article
  13. Article
  14. Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies.BJOG : an international journal of obstetrics and gynaecology · 2022
    Review
  15. Review
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Mikko J TarvonenDepartment of Obstetrics and Gynaecology, University of Helsinki, and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0003-3289-2173
Christopher A LearFetal Physiology and Neuroscience Group, Department of Physiology, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-8937-0846
Sture AnderssonChildren's Hospital, Paediatric Research Centre, University of Helsinki, and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0001-9026-412X
Alistair J GunnFetal Physiology and Neuroscience Group, Department of Physiology, University of Auckland, Auckland, New Zealand.ORCID 0000-0003-0656-7035
Kari A TeramoDepartment of Obstetrics and Gynaecology, University of Helsinki, and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0001-9286-3636

Funding

Finska LäkaresällskapetFoundation for Pediatric Research, FinlandHealth Research Council of New ZealandOlga and Vilho Linnamo FoundationSociety for Pediatric Research in FinlandSpecial Governmental Subsidy for Clinical Research, Finland
6 · The paper itself

Abstract

Increased fetal heart rate variability (FHRV) in intrapartum cardiotocographic recording has been variably defined and poorly understood, limiting its clinical utility. Both preclinical (animal) and clinical (human) evidence support that increased FHRV is observed in the early stage of intrapartum fetal hypoxaemia but can also be observed in a subset of fetuses during the preterminal stage of repeated hypoxaemia. This review of available evidence provides data and expert opinion on the pathophysiology of increased FHRV, its clinical significance and a stepwise approach regarding the management of this pattern, and propose recommendations for standardisation of related terminology.

Indexed as

Heart Rate, FetalLabor, ObstetricAnimalsCardiotocographyFemaleHumansHypoxiaParturitionPregnancyacidaemiacardiotocographyelectronic fetal monitoringfetal heart rateincreased variabilitymarked variabilityneonatal morbiditypregnancysaltatory patternZigZag pattern

Identifiers

PMID35596699
PMCPMC9796294

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.