Placental pathology and its association with duration of abnormal fetal heart tracing in near‐term and term infants with hypoxic–ischemic encephalopathy: A retrospective study

This study demonstrates an association between HCA and increased duration of CTG abnormality in infants with moderate or severe HIE. Intrapartum CTG alone is limited in its ability to identify the presence or absence of placental histopathology. Multimodal intrapartum assessment, such as CTG with placental NIRs or Doppler assessment, may improve the maternal-placental-fetal triad assessment. This could lead to improved intrapartum risk stratification and infant outcomes. Future research should investigate the utility of multimodal assessment to improve risk stratification in labor.

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Publication Details

Journal
Acta Obstetricia Et Gynecologica Scandinavica
Published
2025-10-15
DOI
https://doi.org/10.1111/aogs.70064
Primary Topic
Neonatal and fetal brain pathology
Type
article
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article

Placental pathology and its association with duration of abnormal fetal heart tracing in near‐term and term infants with hypoxic–ischemic encephalopathy: A retrospective study

Claire McCarthy, Adam Reynolds, Breda Hayes, Maria Farren et al.
Acta Obstetricia Et Gynecologica Scandinavica
Neonatal and fetal brain pathology
article

Placental pathology and its association with duration of abnormal fetal heart tracing in near‐term and term infants with hypoxic–ischemic encephalopathy: A retrospective study

Claire McCarthy, Adam Reynolds, Breda Hayes, Maria Farren, Rocco Cuzzilla, Michael Geary, Áine Fox, Emma Doyle
article en

Abstract

This study demonstrates an association between HCA and increased duration of CTG abnormality in infants with moderate or severe HIE. Intrapartum CTG alone is limited in its ability to identify the presence or absence of placental histopathology. Multimodal intrapartum assessment, such as CTG with placental NIRs or Doppler assessment, may improve the maternal-placental-fetal triad assessment. This could lead to improved intrapartum risk stratification and infant outcomes. Future research should investigate the utility of multimodal assessment to improve risk stratification in labor.

Acta Obstetricia Et Gynecologica ScandinavicaVol. 104(12)
Belfast Health and Social Care Trust (GB), Royal Women's Hospital (AU), Royal College of Surgeons in Ireland (IE), The University of Melbourne (AU), University College Cork (IE), Rotunda Hospital (IE), Cork University Hospital (IE), Coombe Women & Infants University Hospital (IE)
Openalex Percentile: Top 58%
Neonatal and fetal brain pathology
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Placental pathology and its association with duration of abnormal fetal heart tracing in near‐term and term infants with hypoxic–ischemic encephalopathy: A retrospective study — Claire McCarthy, Adam Reynolds, et al. · Acta Obstetricia Et Gynecologica Scandinavica (2025) | TGRS Research Map | TGRS