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ISSN: 2376-127X

Journal of Pregnancy and Child Health
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  • Case Report   
  • J Preg Child Health,
  • DOI: 10.4172/2376-127X.1000372

Fetal Hibernation: A Case Report

Louise Drejer Jensen1, Jan Grau2 and Mohammed Rohi Khalil2*
1Department of Clinical Research, University of Southern Denmark, Denmark
2Department of Gynecology and Obstetrics, Lillebaelt Hospital, , Denmark
*Corresponding Author : Mohammed Rohi Khalil, Department of Obstetrics and Gynecology, Lillebaelt Hospital, Kolding, Denmark, Tel: +4526363843, Email: [email protected]

Received Date: Apr 02, 2018 / Accepted Date: Apr 23, 2018 / Published Date: Apr 30, 2018


Cardiotocography (CTG) is normally used to monitor fetal heart rate in order to determine the metabolic resources of the fetus and avoid intrauterine asphyxia. In our case study, the woman had preterm rupture of the membranes (at 39 weeks of gestation) but showed normal values e.g. CTG and fetal water. After 26.5 h, the CTG changed to a silent, hibernated pattern with tachycardia and reduced variability. Further, the mother developed fever and chorioamnionitis was suspected. Therefore, a sub-acute caesarean section performed followed by a medical examination of the newborn which showed normal values for Apgar score and vital parameters. Our interpretation is that the fetus responded to the maternal infection by a state of hibernation, shown by a pathological monotone heart rate pattern. It is remarkable that the fetus was able to sustain a well-preserved metabolism, shown by the normal acid-base status, considering the pathological and uniform CTG.

Keywords: Cardiotocography; Hibernation; Intrauterine asphyxia; Infection; Tachycardia

Citation: Jensen LD, Grau J, Khalil MR (2018) Fetal Hibernation: A Case Report. J Preg Child Health 5: 372. Doi: 10.4172/2376-127X.1000372

Copyright: © 2018 Jensen LD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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