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Scientific paper - Case study
SINUSNA TAHIKARDIJA MAJKE KAO UZROK NEPREPOZNATE FETALNE SMRTI
Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, 19 (2010), 2; 90-93. urn:nbn:hr:184:921271
Petrović, Oleg; Sindik, Nebojša; Štimac, Tea; Randić, Ljiljana

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Petrović, O., Sindik, N., Štimac, T. & Randić, Lj. (2010). SINUSNA TAHIKARDIJA MAJKE KAO UZROK NEPREPOZNATE FETALNE SMRTI. Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, 19. (2), 90-93. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:921271

Petrović, Oleg, et al. "SINUSNA TAHIKARDIJA MAJKE KAO UZROK NEPREPOZNATE FETALNE SMRTI." Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, vol. 19, no. 2, 2010, pp. 90-93. https://urn.nsk.hr/urn:nbn:hr:184:921271

Petrović, Oleg, Nebojša Sindik, Tea Štimac and Ljiljana Randić. "SINUSNA TAHIKARDIJA MAJKE KAO UZROK NEPREPOZNATE FETALNE SMRTI." Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics 19, no. 2 (2010): 90-93. https://urn.nsk.hr/urn:nbn:hr:184:921271

Petrović, O., et al. (2010) 'SINUSNA TAHIKARDIJA MAJKE KAO UZROK NEPREPOZNATE FETALNE SMRTI', Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, 19(2), pp. 90-93. Available at: https://urn.nsk.hr/urn:nbn:hr:184:921271 (Accessed 09 November 2024)

Petrović O, Sindik N, Štimac T, Randić Lj. SINUSNA TAHIKARDIJA MAJKE KAO UZROK NEPREPOZNATE FETALNE SMRTI. Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics [Internet]. 2010 [cited 2024 November 09];19(2):90-93. Available at: https://urn.nsk.hr/urn:nbn:hr:184:921271

O. Petrović, N. Sindik, T. Štimac and Lj. Randić, "SINUSNA TAHIKARDIJA MAJKE KAO UZROK NEPREPOZNATE FETALNE SMRTI", Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, vol. 19, no. 2, pp. 90-93, 2010. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:921271. [Accessed: 09 November 2024]

Metadata
Title (croatian)SINUSNA TAHIKARDIJA MAJKE KAO UZROK NEPREPOZNATE FETALNE SMRTI
Title (english)MOTHER’S SINUS TACHYCARDIA AS A CAUSE OF UNRECOGNIZED FETAL DEATH
AuthorOleg Petrović
AuthorNebojša Sindik
AuthorTea Štimac
AuthorLjiljana Randić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Gynaecology and Obstetrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (croatian)
U radu je opisan rijedak slučaj neprepoznate fetalne smrti u 39. tjednu trudnoće u mlade rodilje sa sinusnom tahikardijom. Tijekom detaljne analize ovog opstetričkog slučaja identificirane su subjektivne pogreške stručnog osoblja koje je zanemarilo neke postupke opstetričke propedeutike, ali su opažene i neke objektivne okolnosti koje su otežale dijagnozu kasne fetalne smrti, prije svega postojanje sinusne tahikardije, kojoj je trudnica bila sklona. Nesretnu okolnost autori su našli i u činjenici da je »CTG krivulja« sa snimljenom srčanom akcijom majke tijekom prijema u rađaonicu bila vrlo slična uobičajenoj krivulji s registriranim fetalnim srčanim otkucajima, pa je došlo do tragične zamjene. Autori apeliraju na stalan opstetričarov oprez, kritičko kliničko promišljanje i potrebu za preispitivanjem pojedinih stručnih odluka, osobito ako su tijekom analize prepoznate neke kliničke sumnje i nelogičnosti.
Abstract (english)
Late fetal death was and still is a very sad and disappointing outcome of pregnancy. However, today, with all the classic and modern facilities at our disposal, it is really unacceptable that late fetal death remains unrecognized by qualified medical professionals at the beginning of labor. The authors have decided to present such an extremely rare case of unrecognized fetal death at the 39th week of singleton pregnancy in 19 years old primipara with sinus tachycardia which was recorded by external electronic fetal heart monitoring and mistakenly interpreted as normal fetal heart rate. The lack of timely diagnosis of gestational diabetes probably had resulted in undesirable fetal complications such as metabolic disorders, macrosomia and intrauterine fetal death, caused by fetal hypoxia and acidosis. Analysing the whole course of delivery a few fundamental obstetric rules were omitted: taking the patient’s medical history was done quite inadequately (nobody asked her about previous attack of tachycardia and fetal movements), and the simple auscultation of the fetal heartbeat with simultaneous checking of the maternal radial pulse rate was ignored, leading to an unacceptable situation, where intrauterine fetal death was unrecognized through the first 3 hours of labor. The authors offer a clinical opinion that the obstetricians, as well as midwifes have to use modern medical technology and diagnostic tests wisely and critically, but can never allow themselves to skip the simple propaedeutic rules of obstetric care. Only with the better collaboration of the patient and with a watchful and critical analysis of the complete medical documentation and diagnostic tests, it could be possible to correct possible own or somebody else’s professional errors.
Keywords (croatian)
Keywords (english)
Languagecroatian
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleGynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics
Numberingvol. 19, no. 2, pp. 90-93
p-ISSN1330-0091
URN:NBNurn:nbn:hr:184:921271
Publication2010
Document URLhttps://hrcak.srce.hr/68434
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2022-08-22 13:39:43