Fetal to Neonatal Heart Rate Transition during Normal Vaginal Deliveries: A Prospective Observational Study

Documentation of fetal to neonatal heart rate (HR) transition is limited. The aim of the current study was to describe HR changes from one hour before to one hour after normal vaginal deliveries. We conducted a prospective observational cohort study in Tanzania from 1 October 2020 to 30 August 2021, including normal vaginal deliveries with normal neonatal outcomes. HR was continuously recorded from one hour before to one hour after delivery, using the Moyo fetal HR meter, NeoBeat newborn HR meter, and the Liveborn Application for data storage. The median, 25th, and 75th HR percentiles were constructed. Overall, 305 deliveries were included. Median (interquartile range; IQR) gestational age was 39 (38-40) weeks and birthweight was 3200 (3000-3500) grams. HR decreased slightly during the last 60 min before delivery from 136 (123,145) to 132 (112,143) beats/minute. After delivery, HR increased within one minute to 168 (143,183) beats/min, before decreasing to around 136 (127,149) beats/min at 60 min after delivery. The drop in HR in the last hour of delivery reflects strong contractions and pushing. The rapid increase in initial neonatal HR reflects an effort to establish spontaneous breathing.

Ultrasonographic foetometry and maternal serum progesterone concentrations during pregnancy in Turkish Saanen goats

The objectives of the present study were (1) to generate reliable equations to estimate the gestational age of Saanen goats by measuring embryonic and foetal structures via B-Mode ultrasonography (USG), (2) determine the maternal serum progesterone (P₄) concentrations during pregnancy, and (3) compare the relationship between P₄ concentrations and gestational age, litter size, and birth weight of kids. Seven pregnant goats were used in this study. Ultrasonographic examinations were performed transrectally from Days 15 to 27 of pregnancy at 3-day intervals and transabdominally from Days 30 to 128 at 7-day intervals. Blood samples were collected daily between Day 15 and 24 of gestation, and weekly from Day 27 to 128 to determine the serum P₄ concentrations. Outer placentome diameter, biparietal diameter, occipito-nasal length, chest diameter, foetal heart rate, transversal heart diameter, orbit diameter, umbilical cord diameter, and kidney diameter were highly correlated with gestational age (P <  0.0001). Goats with twins had greater progesterone concentrations than those with a single foetus (P <  0.001). Furthermore, maternal serum progesterone concentrations detected on Days 51, 107, 114, and 128 of gestation were greater in goats carrying twins than those with a single foetus (P <  0.05). A negative correlation was evident between serum progesterone concentrations and birth weights of the kids (r = -0.78; P =  0.007). In conclusion, gestational age can be estimated using ultrasonographic foetometry, and litter size at specific times during pregnancy can be determined based on maternal serum progesterone concentration in Turkish Saanen goats.