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Basic and clinical investigations on fetal blood pressure monitoring in labor by the difference in electrocardiogram and pulse oxymetry.

Research Project

Project/Area Number 13671734
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Obstetrics and gynecology
Research Institution(Miyazaki Medical College) University of Miyazaki

Principal Investigator

SAMESHIMA Hiroshi  Miyazaki Medical College, University of Miyazaki, Perinatal Center, Associate Professor, 医学部, 助教授 (50274775)

Co-Investigator(Kenkyū-buntansha) KAWAGOE Yasuyuki  Miyazaki Medical College, University of Miyazaki, Drpt. OB&GYN, Lecturer, 医学部, 助手 (70336311)
KANEKO Masatoki  Miyazaki Medical College, University of Miyazaki, Perinatal Center, Lecturer, 医学部, 助手 (40264387)
IKEDA Tomoaki  Miyazaki Medical College, University of Miyazaki, Perinatal Center, Assistant Professor, 医学部, 講師 (80202894)
坂本 紘  鹿児島大学, 農学部, 教授 (20041650)
Project Period (FY) 2001 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥3,600,000 (Direct Cost: ¥3,600,000)
Fiscal Year 2003: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2002: ¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 2001: ¥1,500,000 (Direct Cost: ¥1,500,000)
KeywordsBlood pressure / Electromechanical difference / Fetus / Pulse oxymetry / Plethysmograph / Labor and delivery / 胎児心拍数モニタリング / electro-mechanical delay time / 酸素飽和度モニター
Research Abstract

In animal experiments using chronically instrumented fetal goat, we decreased fetal blood pressure by about 10 mmHg by administrating hypotensive agents or by withdrawing some amount of fetal blood. We measured intravascular blood pressure (actual-BP), heart rate, pulse oxymeter waveforms of the fetuses continuously. The time difference in electrocardiogram (the peak R-wave) and pulse oxymetry (the maximum increase in slope) was used to estimate the blood pressure (estmate-BP) with a predetermined equation "HASTE" A significant correlation (p<0.01) with good bias values (<8mmHg) and precision values (<5 mmHg) was obtained between the actual-BP and estimate-BP in all animals. This technique has the potential to provide information on fetal blood pressure on a beat-by-beat basis, which will aid in the interpretation of fetal heart rate monitoring in labor and delivery.

Report

(4 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • 2001 Annual Research Report
  • Research Products

    (19 results)

All Other

All Publications (19 results)

  • [Publications] Xia XY, Sameshima H, Ikeda T, Higo T, Ikenoue T: "Cerebral blood flow distribution and hypoxic-ischemic brain damage in newborn rats."J Obstet Gynecol Res. 28. 320-326 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sameshima H, Kawagoe Y, Ikenoue T, Sakamoto H: "Continuous systolic blood pressure monitoring by the difference in electrocardiogram and pulse oximetry in the near term, exteriorized goat fetuses"J Soc Gynecol Invest. 10. 200-204 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sameshima H, Ikenoue T, Ikeda T, Kamitomo M, Ibara S: "Unselected low risk pregnancies and continuous intrapartum fetal heart rate monitoring on umbilical blood gases and cerebral palsy"Am J Obstet Gynecol. 190. 118-123 (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sameshima H, Higo T, Ikenoue T: "Longitudinal changes in plasma glucose values of the 75g glucose tolerance test in triplet pregnancies"Am J Perinatol. (in press). (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kaneko M, Sameshima H, Ikeda T, Ikenoue T: "Intrapartum fetal heart rate monitoring in cases of cytomegalovirus infection"Am J Obstet Gynecol. (in press). (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Xia XY, Sameshima H, Ikeda T, Higo T, Ikenoue: "Cerebral blood flow distribution and hypoxic-ischemic brain damage in newborn rats."J Obstet Gynecol Res. 28. 320-326 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sameshima H, Kawagoe Y, Ikenoue T, Sakamoto H: "Continous systolic blood pressure monitoring by the difference in electrocardiogram and pulse oximetry in the near term, exteriorized goat fetuses."J Soc Gynecol Invest. 10. 200-204 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sameshima H, Ikenoue T, Ikeda T, Kamitomo M, Ibara S: "Unselected low risk pregnancies and continuous intrapartum fetal heart rate monitoring blood gases and cerebral palsy"Am J Obstet Gynecol. 190. 118-123 (2004)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sameshima H, Higo T, Ikenoue T: "Longitudinal changes in plasma glucose values of the 75g glucose tolerance test in triplet pregnancies"Am J Perinatol. (in press). (2004)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kaneko M, Sameshima H, Ikeda T, Ikenoue T: "Intrapartum fetal heart rate monitoring in cases of cytomegalovirus infection"Am J Obstet Gynecol. (in press). (2004)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sameshima H, Ikenoue T:: "Predictive value of late decelerations for fetal academia in unselected low risk pregnancies."Am J Perinatology. (in press). (2004)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Xia XY, Sameshima H, Ikeda T, Higo T, Ikenoue T: "Cerebral blood flow distribution and hypoxic-ischemic brain damage in newborn rats"J Obstet Gynecol Res. 28. 320-326 (2002)

    • Related Report
      2003 Annual Research Report
  • [Publications] Sameshima H, Kawagoe Y, Ikenoue T, Sakamoto H: "Continuous systolic blood pressure monitoring by the difference in electrocardiogram and pulse oximetry in the near term, exteriorized goat fetuses"J Soc Gynecol Invest. 10. 200-204 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Sameshima H, Ikenoue T, Ikeda T, Kamitomo M, Ibara S: "Unselected low risk pregnancies and continuous intrapartum fetal heart rate monitoring on umbilical blood gases and cerebral palsy"Am J Obstet Gynecol. 190. 118-123 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Sameshima H, Higo T, Ikenoue T: "Longitudinal changes in plasma glucose values of the 75g glucose tolerance test in triplet pregnancies"Am J Perinatol. (in press). (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kaneko M, Sameshima H, Ikeda T, Ikenoue T: "Intrapartum fetal heart rate monitoring in cases of cytomegalovirus infection"Am J Obstet Gynecol. (in press). (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Sameshima H, Ikenoue T: "Predictive value of late decelerations for fetal academia in unselected low risk pregnancies"Am J Perinatology. (in press). (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 鮫島浩: "胎児の病態生理学的変化に基づく分娩時心拍数モニタリングの再評価"日本産科婦人科学会誌. 54(8). 1103-1115 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] H.Sameshima, et al.: "Continuous systolic blood pressure monitoring by the difference in electrocardiogram and pulse oximetry in near-term, exteriorized goat fetuses"Journal of the Society for Gynecologic Investigation. 10(in Press). (2003)

    • Related Report
      2002 Annual Research Report

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Published: 2001-04-01   Modified: 2016-04-21  

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