{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T21:30:56Z","timestamp":1775770256692,"version":"3.50.1"},"reference-count":44,"publisher":"Walter de Gruyter GmbH","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2021-0139_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Congenital heart defects (CHD) are the most common inherited abnormalities. Intrapartum cardiotocography (CTG) is still considered a \u201cgold standard\u201d during labor. However, there is a lack of evidence regarding the interpretation of intrapartum CTG in fetuses with CHD. Therefore, the study aimed to compare intrapartum CTG in normal fetuses and fetuses with CHD and describe the association between CTG and neonatal outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2021-0139_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The present study is a retrospective analysis of the CTG of 395 fetuses. There were three study groups: Group 1: 185 pregnancies with a prenatal diagnosis of CHD, Group 2: 132 high-risk pregnancies without CHD, and Group 3: 78 low-risk pregnancies without CHD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2021-0139_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Abnormal CTG was present statistically OR=3.4 (95%CI: 1.61\u20136.95) more often in Group 1. The rate of the emergency CS was higher in this group OR=3 (95%CI: 1.3\u20133.1). Fetuses with CHD and abnormal CTG were more often scored\u00a0\u22647 Apgar, with no difference in acidemia. The multivariate regression model for Group 1 does not show clinical differences between Apgar scores or CTG assessment in neonatal acidemia prediction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2021-0139_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>CTG in fetuses with CHD should be interpreted individually according to the type of CHD and conduction abnormalities. Observed abnormalities in CTG are associated with the fetal heart defect itself. Preterm delivery and rapid cesarean delivery lead to a higher rate of neonatal complications. Health practitioners should consider this fact during decision-making regarding delivery in cases complicated with fetal cardiac problems.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2021-0139","type":"journal-article","created":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T03:31:51Z","timestamp":1652153511000},"page":"961-969","source":"Crossref","is-referenced-by-count":7,"title":["Intrapartum cardiotocography in pregnancies with and without fetal CHD"],"prefix":"10.1515","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7746-8443","authenticated-orcid":false,"given":"Stepan","family":"Feduniw","sequence":"first","affiliation":[{"name":"Department of Reproductive Health , Centre of Postgraduate Medical Education , Warsaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1913-9195","authenticated-orcid":false,"given":"Katarzyna","family":"Muzyka-Placzy\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health , Centre of Postgraduate Medical Education , Warsaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3581-8120","authenticated-orcid":false,"given":"Anna","family":"Kajdy","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health , Centre of Postgraduate Medical Education , Warsaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcin","family":"Wrona","sequence":"additional","affiliation":[{"name":"Department of Gynecological Endocrinology , Medical University of Warsaw , Warsaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6829-5947","authenticated-orcid":false,"given":"Dorota","family":"Sys","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health , Centre of Postgraduate Medical Education , Warsaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1544-6999","authenticated-orcid":false,"given":"Joanna","family":"Szymkiewicz-Dangel","sequence":"additional","affiliation":[{"name":"Department of Perinatal Cardiology and Congenital Anomalies , Centre of Postgraduate Medical Education , Warsaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2022,5,10]]},"reference":[{"key":"2023040100081889993_j_jpm-2021-0139_ref_001","unstructured":"Hamela Olkowska, A, Szymkiewicz Dangel, J, Romejko Wolniewicz, E. 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