Effect of maternal beta-blocker treatment on mean fetal heart rate
2024

Impact of Beta-Blockers on Fetal Heart Rate in Pregnant Women

Sample size: 90 publication 10 minutes Evidence: moderate

Author Information

Author(s): Sarah Hautier, Thi Minh Thu Nguyen, Arane Kim, Tiphaine Barral, Dominique Luton

Primary Institution: Assistance Publique-Hôpitaux de Paris

Hypothesis

Does the use of beta-blockers during pregnancy affect the mean fetal heart rate?

Conclusion

The study found no significant effect of beta-blockers on fetal heart rate in treated mothers compared to untreated mothers.

Supporting Evidence

  • 87% of fetuses from mothers treated with beta-blockers had a heart rate between 110 and 150 bpm.
  • 93% of fetuses in the untreated group had a heart rate between 110 and 150 bpm.
  • Maternal heart rates above 100 bpm were more common in untreated patients (16%) compared to those on beta-blockers (2.6%).
  • Cesarean sections were more frequent in patients on beta-blockers (53%) compared to untreated patients (8.9%).
  • Newborns from mothers on beta-blockers tended to have lower birth weights than those from untreated mothers.

Takeaway

This study looked at whether taking beta-blockers during pregnancy changes the baby's heart rate, and it found that it doesn't.

Methodology

Retrospective case-control study comparing 45 patients on beta-blockers to 45 untreated patients.

Potential Biases

Potential biases due to the retrospective design and matching criteria.

Limitations

The study is retrospective and may have selection and data collection biases; small sample sizes limit statistical power.

Participant Demographics

Median age of participants was 31 years, with similar parity and BMI across groups.

Statistical Information

P-Value

p=.71

Statistical Significance

p=.71

Digital Object Identifier (DOI)

10.1016/j.xagr.2024.100423

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