Alexandra D. J. Hulsenboom

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The unique fetal shunting system causes an increased cardiac muscle mass in the right ventricle [1]. Cardiac currents initiating each contraction are measured from the outside as the electrocardiogram (ECG), the main direction of propagation is referred to as the electrical heart axis. Ventricular depolarization involves the largest cellmass, yielding the(More)
OBJECTIVE Reducing perinatal morbidity and mortality is one of the major challenges in modern health care. Analysing the ST segment of the fetal electrocardiogram was thought to be the breakthrough in fetal monitoring during labour. However, its implementation in clinical practice yields many false alarms and ST monitoring is highly dependent on(More)
INTRODUCTION Tocolytics may cause changes in fetal heart rate (HR) pattern, while fetal heart rate variability (HRV) is an important marker of fetal well-being. We aim to systematically review the literature on how tocolytic drugs affect fetal HRV. MATERIALS AND METHODS We searched CENTRAL, PubMed and EMBASE up to June 2016. Studies published in English,(More)
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