Fetal Asphyxia Treatment without Caesarean Delivery


Journal of Women’s Health and Reproductive Medicine is an interdisciplinary journal that explores clinical, medical, social and economic aspects of female reproductive health and medication worldwide.  This journal publishes articles which are under the scope of the women’s health, reproductive system, medicine, and treatment.

The aim is to reduce cesarean delivery in NRFS cases with intrauterine treatment of fetal asphyxia. Method in the nonreassuring fetal status (NRFS) case of high placental gray level histogram width (GLHW), which is a tissue characterization, in fetal growth restriction (FGR), the mother is proposed to be treated by heparin infusion, if diagnosed as fibrin depsit in placental intervillous space, under monitoring with ultrasonic Doppler uterine arterial flow, fetal heart rate (FHR) and hemorrhagic tendency etc. a vaginal delivery is selected, if NFRS disappeared, GLHW lowered, estimated fetal weight recovered, and uterine arterial Doppler normalized. The vaginal delivery is carefully monitored in the hospital, preparing caesarean delivery in any abnormality. The result is a 2nd trimester FGR case who had high GLHW was treated byheparin 5000 U infusion every day in 17-31 weeks.

The conditions of hypoxic fetal damage were FGR, high GLHW tissue characterization, and abnormal Doppler flow wave indicating increased placental blood flow resistance. The conditions will suggest the solution therapy of placental fibrin deposit, of which pathological evidence would be confirmed by placental tissue sampling, if necessary. The effect of heparin treatment was shown in the improvement of FGR resulting in the recovery to fetal normal estimated weight, recovery to normal uterine artery Doppler flow wave, the loss of fetal asphyxia, prevention of fetal damage even preventing fetal death after the heparin treatment as shown in our past report.

A novel technique to treat hypoxic NRFS curing from the brain damage or fetal/neonatal death by heparin therapy is proposed in the FGR associating high GLHW tissue characterization and abnormal pulsed Doppler flow of uterine artery, hopefully without C-delivery.

Robert John
Editorial Manager
Journal of Women's Health and Reproductive Medicine