{"id":568,"date":"2015-06-17T19:47:19","date_gmt":"2015-06-17T19:47:19","guid":{"rendered":"http:\/\/brooksidepress.org\/mil_ob_gyn\/?page_id=568"},"modified":"2023-10-25T20:02:32","modified_gmt":"2023-10-25T20:02:32","slug":"fetal-heart-rate-variability","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/mil_ob_gyn\/?page_id=568","title":{"rendered":"Fetal Heart Rate Variability"},"content":{"rendered":"<p>The normal fetal heart rate baseline is from 110 to 160 BPM and has &#8220;variability.&#8221;<\/p>\n<p>Variability means that from one moment to the next, the fetal heart speeds up slightly and then slows down slightly, usually with a range of 6-25 deviation from the baseline.<\/p>\n<p>Variability is normally controlled by the fetal brain through sympathetic and parasympathetic influences. This is mostly all regulated through the fetal hypothalamus.<\/p>\n<figure id=\"attachment_616\" aria-describedby=\"caption-attachment-616\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_moderate_variability.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-616\" src=\"http:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_moderate_variability-300x165.jpg\" alt=\"Moderate Variability (6-25 BPM)\" width=\"300\" height=\"165\" title=\"\" srcset=\"https:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_moderate_variability-300x165.jpg 300w, https:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_moderate_variability-1024x563.jpg 1024w, https:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_moderate_variability-672x372.jpg 672w, https:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_moderate_variability-1038x576.jpg 1038w, https:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_moderate_variability.jpg 1440w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-616\" class=\"wp-caption-text\">Moderate Variability (6-25 BPM)<\/figcaption><\/figure>\n<p>Variability is classified\u00a0as:<\/p>\n<ul>\n<li>Undetectable (Absent)<\/li>\n<li>Minimal (up to 5 beats\/minute)<\/li>\n<li>Moderate (6 to 25 beats\/minute)<\/li>\n<li>Marked (more than 25 beats\/minutes)<\/li>\n<\/ul>\n<h2><strong>Reduced Variability<\/strong><\/h2>\n<p>Reduced variability occurs normally during fetal sleep and usually returns after 20 to 40 minutes.<\/p>\n<figure id=\"attachment_615\" aria-describedby=\"caption-attachment-615\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_absent_variability.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-615\" src=\"http:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_absent_variability-300x168.jpg\" alt=\"Absent Variability (Undetectable)\" width=\"300\" height=\"168\" title=\"\" srcset=\"https:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_absent_variability-300x168.jpg 300w, https:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_absent_variability-1024x573.jpg 1024w, https:\/\/brooksidepress.org\/mil_ob_gyn\/wp-content\/uploads\/2015\/06\/efm_absent_variability.jpg 1400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-615\" class=\"wp-caption-text\">Absent Variability (Undetectable)<\/figcaption><\/figure>\n<p>Reduced variability may also occur:<\/p>\n<ul>\n<li>Following narcotic administration<\/li>\n<li>With fetal anomalies or injury<\/li>\n<li>With hypoxia and acidosis in combination with such FHR abnormalities as late decelerations, tachycardia, bradycardia, and severe variable decelerations.<\/li>\n<\/ul>\n<p>Persistent or progressively reduced variability is not, by itself, a sign of fetal jeopardy. But in combination with other abnormalities may indicate fetal intolerance of labor.<\/p>\n<h2><strong>Increased Variability<\/strong><\/h2>\n<p>Increased variability is associated primarily with fetal movement, and a higher level of fetal alertness.<\/p>\n<p>It may be provoked by physical stimulation, such as a maternal abdominal exam, or pelvic exam with fetal scalp stimulation.<\/p>\n<p>It may also be provoked by loud and annoying noises, such as briefly activating an artificial larynx while it is pressed against the maternal abdomen. This particular maneuver is known as a &#8220;Fetal Acoustic Stimulation Test&#8221; or FAS.<\/p>\n<p>Increased variability, either naturally occurring or as a consequence of fetal stimulation is viewed as a reassuring sign. The fetus is tolerating its&#8217; current situation well.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The normal fetal heart rate baseline is from 110 to 160 BPM and has &#8220;variability.&#8221; Variability means that from one moment to the next, the fetal heart speeds up slightly and then slows down slightly, usually with a range of 6-25 deviation from the baseline. Variability is normally controlled by the fetal brain through sympathetic &hellip; <a href=\"https:\/\/brooksidepress.org\/mil_ob_gyn\/?page_id=568\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Fetal Heart Rate Variability<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":556,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-568","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/mil_ob_gyn\/index.php?rest_route=\/wp\/v2\/pages\/568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/mil_ob_gyn\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/mil_ob_gyn\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/mil_ob_gyn\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/mil_ob_gyn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=568"}],"version-history":[{"count":5,"href":"https:\/\/brooksidepress.org\/mil_ob_gyn\/index.php?rest_route=\/wp\/v2\/pages\/568\/revisions"}],"predecessor-version":[{"id":1537,"href":"https:\/\/brooksidepress.org\/mil_ob_gyn\/index.php?rest_route=\/wp\/v2\/pages\/568\/revisions\/1537"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/mil_ob_gyn\/index.php?rest_route=\/wp\/v2\/pages\/556"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/mil_ob_gyn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}