Assessment of fetal autonomic nervous system activity by fetal magnetocardiography: comparison of normal pregnancy and intrauterine growth restriction

J Pregnancy. 2011:2011:218162. doi: 10.1155/2011/218162. Epub 2011 Apr 11.

Abstract

Objective: To clarify the developmental activity of the autonomic nervous system (ANS) of the normal fetus and intrauterine growth restriction (IUGR) cases using fetal magnetocardiography (FMCG).

Subjects and methods: Normal pregnancy (n = 35) and IUGR (n = 12) cases at 28-39 and 32-37 weeks of gestation, respectively, were included in this study. The R-R interval variability was used to calculate the coefficient of variance (CV(RR)) and low frequency/high frequency (LF/HF) ratio.

Results: The value of CV(RR) in the normal pregnancy group displayed a slight increasing trend with gestational age. However, no such trend was observed in the IUGR group. In contrast, the LF/HF ratio in both the normal pregnancy group and the IUGR group clearly increased over the gestational period; the normal group showing statistical significance.

Conclusion: The development of fetal ANS activity in IUGR cases might differ from that observed in the normal pregnancy group, and this may facilitate early detection of IUGR.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Autonomic Nervous System / physiopathology*
  • Female
  • Fetal Development / physiology*
  • Fetal Growth Retardation / diagnosis
  • Fetal Growth Retardation / physiopathology*
  • Gestational Age*
  • Heart Rate, Fetal
  • Humans
  • Magnetocardiography*
  • Pregnancy
  • Young Adult