Cardiotocography findings of early-stage chronic fetomaternal hemorrhage after the presentation of reduced fetal movement

Abstract

In the current case of fetomaternal hemorrhage with reduced fetal movements, the findings of cardiotocography (CTG) seemed to be indicating reassuring fetal status; however, a late deceleration and sinusoidal heart rate (SHR)-like findings were observed following a weak uterine contraction. Altogether, this case indicates that the presence of reduced fetal movements may precede the appearance of SHR patterns on CTG in cases of chronic fetomaternal hemorrhage.

Keywords: cardiotocography; early‐stage chronic fetomaternal hemorrhage; fetal movements.

Figure 1

Cardiotocography at 37 wk gestation. An acceleration of 30 beats per minute with normal baseline variability is observed

Figure 2

Cardiotocography at 38 wk gestation. An acceleration of 10 beats per minute with normal baseline variability is observed

Figure 3

Cardiotocography 4 h after admission at 38 wk gestation. The baseline variability decreased without obvious accelerations

Figure 4

Cardiotocography at 4 h and 40 min after admission at 38 wk gestation. Late deceleration and sinusoidal heart rate‐like findings were observed following a weak uterine contraction