PREGNANCY-BIRTH Messages for May, 2002: Re: trasient fetal tachycardia

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Re: trasient fetal tachycardia

From: Garry E. Siegel, M.D. (anonymous@obgyn.net)
Tue, 21 May 2002 21:31:10 -0500 (CDT)

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In reply to: Elizabeth: "trasient fetal tachycardia"

At Mon, 20 May 2002, Elizabeth wrote: >
>I am looking for some possible answers related to transient fetal
>tachycardia. I am a G4P2 at 37.6 weeks gestation. I have been having
>bi-weekly NST's because of a US that showed a possible SGA baby. On
>Friday 5/10 I went in for my NST and the FHR baseline was in the 170's
>with prolonged accels in the 190's-200. I was admitted to Antepartum
>for continuous EFM and a complete OB US as well as a BPP. Upon
>admittance the FHR baseline was back to my baby's normal in the 150's
>with nice variablity. The OB US showed adequate growth, but the BPP was
>6/8 off for fetal tone. The baby was sleeping. I stayed overnight on
>continuous monitoring with one more episode of tachycardia for about
>15-20 minutes and then another BPP in the am with a score of 8/8. I was
>sent home.
>
>The following Tuesday at my NST the FHR was in the 150's with a reactive
>strip.
>
>The next Friday 5/17, however, my NST revealed fetal tachycardia in the
>160's with variablity, but not a reactive strip. So again I was sent to
>Antepartum for continuous EFM and a BPP. The baseline was in the 150's
>with good variablity and accels. I got a 6/8 on the BPP again off for
>movement. Again, the baby was sleepy. No further episodes of
>tachycardia noted throughout the night and the follow-up BPP scored a
>8/8.
>
>Both instances I have been well hydrated and afebrile. Perhaps this is
>normal, but have only caught it because of the bi-weekly NSTs. Any
>thoughts or ideas would be greatly appreciated.
>
>Thanks-
>
>--
>Elizabeth
>

I bet that the baby is OK, but if you are 38 weeks and possibly SGA ("bad" enough to need testing bi-weekly), then I would be looking to deliver you, likely by induction.

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA

No private emails; advice here does not constitute a physician-patient relationship.

Next message: Garry E. Siegel, M.D.: "Re: What is an amniograft?"
Previous message: Garry E. Siegel, M.D.: "Re: anesthesia during pregnancy"
In reply to: Elizabeth: "trasient fetal tachycardia"

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