THE EFFECT OF UTERINE RUPTURE ON FETAL HEART RATE PATTERNS

Authors

  • Cydney Afriat Menihan CNM, MSN, RDMS

    Corresponding author
      Cydney Afriat Menihan, CNM, MSN, RDMS, 240 Foddering Farm Road, Narragansett, RI 02882.
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    • Cydney Afriat Menihan is a nurse-midwife at Women and Infants Hospital in Providence, RI. She is a clinical teaching associate at Brown University School of Medicine and an assistant clinical professor at the University of Rhode Island Graduate Program in Midwifery. She has published numerous articles on fetal monitoring and other women's health care topics, as well as two textbooks: Electronic Fetal Monitoring, an Aspen Publication and Sonography in OB/GYN Triage, a Lippincott-Raven Publication.


Cydney Afriat Menihan, CNM, MSN, RDMS, 240 Foddering Farm Road, Narragansett, RI 02882.

ABSTRACT

The high success rate of vaginal birth after cesarean section (VBAC) and its low association with complications has led to VBACs being attempted at all types of facilities, including birth centers. It must be kept in mind that unpredictable uterine rupture can occur and that uterine rupture necessitates emergency intervention. The only reported predictable feature of fetal heart rate patterns in response to uterine rupture is the sudden onset of fetal bradycardia. Fetal patterns are presented to illustrate this finding.

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