Maternal Diabetes and Intrapartum Fetal Electrocardiogram.

ABSTRACT:

Objective

 Fetal electrocardiogram (ECG) ST changes are associated with fetal cardiac hypoxia. Our objective was to evaluate ST changes by maternal diabetic status and stage of labor.

Methods

 This was a secondary analysis of a multicentered randomized-controlled trial in which laboring patients with singleton gestations underwent fetal ECG scalp electrode placement and were randomly assigned to masked or unmasked ST-segment readings. Our primary outcome was the frequency of fetal ECG tracings with ST changes by the stage of labor. ECG tracings were categorized into mutually exclusive groups (ST depression, ST elevation without ST depression, or no ST changes). We compared participants with DM, gestational diabetes mellitus (GDM), and no DM.

Results

 Of the 5,436 elig

SUBMITTER: Plunkett BA 

PROVIDER: S-EPMC9532457 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature