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PREGNANCY: Variable decelerations on NST

From: Fabienne (anonymous@obgyn.net)
Mon, 30 Apr 2007 21:08:37 -0500 (CDT)


Hello, I am 33 weeks pregnant, and started twice weekly NSTs last week due to high blood pressure. I am taking 50mg of Atenolol twice daily and 20mg of Lasix once daily, which is keeping my blood pressure in a good range (110s over 70s). I had my second NST today, and it was found that the baby had many minor heart decelerations. The baseline HR was 133, decelerations went down to approx 115. They seemed to be pretty short- maybe 10-15 seconds each. There were probably 20 decel.s in the 45 minutes or so I was monitored. On the positive side, the baby was very reactive, and the nurse stated that he didn't look like most "Atenolol babies." They checked the results of my ultrasound last Friday for amniotic fluid, and the level was normal (13?) They also looked up the strip of my NST on Friday, and it had the same pattern as today's (although they didn't comment on it on Friday). The nurse had a doctor review today's NST, and then I was free to go. The nurse said that it was just this baby's pattern, and that they would continue to monitor it. After reading a lot about this online, I'm concerned, and what I don't understand is what the likely cause of so many decelerations could be. I'm not sure if this is significant, but I have noticed in the past week or so that the baby gets the hiccups several times a day- at least 4 or 5 (one article mentioned something about fetal hiccups being related to cord compression). I know I am probably overanalyzing the whole thing, but it has me really concerned, and any possible insight would be much appreciated. Thanks!





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