• Int J Obstet Anesth · Aug 2021

    Case Reports

    Fetal heart rate mirrors maternal temperature during posterior fossa craniotomy: a case report.

    • A C Sastry, M Gandhi, S L Clark, W E Whitehead, D G Mann, and C D Sutton.
    • Department of Obstetrics and Gynecology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
    • Int J Obstet Anesth. 2021 Aug 1; 47: 103193.

    AbstractWhile it is well known that maternal temperature affects fetal heart rate, the exact relationship is not well described. The circumstances accompanying most cases of maternal hypothermia and rewarming (e.g. a drowning event) have precluded a precise quantitative description of this relationship. We describe hypothermia and controlled rewarming during resection of a maternal brain stem tumor in the early third trimester. Continuous electronic fetal heart rate and core temperature monitoring demonstrated a near linear relationship during the development of hypothermia and rewarming. Recognition of the close relationship between maternal temperature and fetal heart rate can help safeguard maternal and fetal health, and prevent unnecessary delivery during non-obstetric surgery in pregnancy.Copyright © 2021 Elsevier Ltd. All rights reserved.

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