Sonographic Verification of a Nuchal Cord Following a Vibratory Acoustic Stimulation-Induced Severe Variable Fetal Heart Rate Deceleration with Expedient Abdominal Delivery

David M. Sherer; Jacques S. Abramowicz; Bobbi Hearn-Stebbins; James R. Woods

doi:10.1055/s-2007-999411

American Journal of Perinatology, Inhaltsverzeichnis

Am J Perinatol 1991; 8(5): 345-346
DOI: 10.1055/s-2007-999411

ORIGINAL ARTICLE

Sonographic Verification of a Nuchal Cord Following a Vibratory Acoustic Stimulation-Induced Severe Variable Fetal Heart Rate Deceleration with Expedient Abdominal Delivery

David M. Sherer, Jacques S. Abramowicz, Bobbi Hearn-Stebbins, James R. Woods Jr.

Department of Obstetrics and Gynecology, the Division of Obstetrics and Maternal-Fetal Medicine, the Perinatal Ultrasound Laboratory, Strong Memorial Hospital, The University of Rochester School of Medicine and Dentistry, Rochester, New York

Abstract

ABSTRACT

A case is presented in which external vibratory acoustic stimulation performed following a nonreactive nonstress test produced a severe variable deceleration of the fetal heart rate. A clinically suspected nuchal cord was confirmed by ultrasound. This rapid precise antepartum diagnosis of cord compression prevented untimely delay and led to immediate abdominal delivery of a nonacidotic, yet hypoxic, infant. This report suggests care be taken when fetal vibratory acoustic stimulation is applied in cases of oligohydramnios and a known existing nuchal cord.

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