Sinusoidal fetal heart rate pattern in severe fetal anemia from feto‐maternal transfusion

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Abstract
A sinusoidal fetal heart rate pattern was found in a [human] fetus at 34 wk. This pattern, at first isolated and later persistent for several hours, during a normal pregnancy became progressively transformed into a silent pattern. Cesarean delivery resulted in the birth of an infant affected by a severe anemia due to a major feto-maternal transfusion and it died at 36 h. The significance of this pattern when found in apparently normal pregnancies, not involving rhesus isoimmunization, is discussed. Possible management when confronted with a sinusoidal fetal heart pattern is suggested.

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