Sinusoidal fetal heart rate pattern

Shinji Katsuragi, Julian T. Parer, Tomoaki Ikeda

We describe 2 cases of term anemic fetuses with different sinusoidal pattern morphology, and possible mechanisms. Cases—The first patient noted sudden cessation of fetal movement on the day of presentation. She had a sinusoidal FHR pattern. The newborn had a hemoglobin of 3.7 g/dl, and umbilical artery pH was 7.10 and BE -7 mEq/l. The second patient noted decreased fetal movement for several days. She had a FHR pattern with absent FHR variability, and intermittent sinusoidal elements, with late decelerations. The newborn’s hemoglobin was 1.5 g/dl, umbilical artery pH was 7.07 and BE -10.2 mEq/l. Both cases had positive Kleihauer-Betke tests.