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A Preliminary Report

Patricia Braly, MD; Tom Garite, MD; John C. German, MD

Arch Surg. 1980;115(9):1050-1053.

Abstract
• Perinatal changes in fetal heart rate (FHR) were monitored in infants in whom necrotizing enterocolitis (NEC) developed. Eleven of 16 monitoring strips indicated severe FHR changes consistent with perinatal hypoxia, two indicated mild changes, two indicated tachycardia alone, and only one was normal. Severe variable FHR decelerations indicating umbilical cord compression occurred in four cases, persistent late FHR decelerations occurred in two cases, persistent late and severe variable FHR decelerations occurred in two cases, prolonged bradycardia occurred in two cases, and bradycardia with persistent late FHR decelerations occurred in one case. These findings confirm that NEC does occur in infants with perinatal hypoxia and indicate that intestinal ischemia may occur before delivery and after delivery from hypoxia and acidosis from lung disease, exchange transfusion, or sepsis. Perinatal monitoring may become an important determinant in identifying the infant in whom NEC will develop.

(Arch Surg 115:1050-1053, 1980)

Author Affiliations
From the Department of Obstetrics and Gynecology (Drs Braly and Garite) and the Department of Surgery, Division of Pediatric Surgery (Dr German), University of California Irvine Medical Center, Orange, Calif.

Footnotes
Accepted for publication June 2, 1980.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Rancho Mirage, Calif, Jan 18, 1980.

Reprint requests to Department of Surgery, Division of Pediatric Surgery, University of California Irvine Medical Center, 101 City Dr S, Orange, CA 92668 (Dr German).

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ABSTRACT