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High Fetal Heart Rate in Third Trimester - Causes and Treatment

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An increase in the heartbeat of the unborn baby during the third trimester is known as a high fetal heart rate.

Medically reviewed by

Dr. Richa Agarwal

Published At November 1, 2023
Reviewed AtNovember 1, 2023

Introduction

A critical measure that medical practitioners use to evaluate the health of the developing infant is the fetal heart rate. The heart rate typically fluctuates within a predefined range. Still, on rare occasions, it may suddenly increase in the third trimester, raising concerns and questions in the minds of both pregnant parents and medical professionals.

For optimal prenatal care and to ensure the health and vitality of the unborn child, it is crucial to comprehend the potential causes of high fetal heart rates in the third trimester. This article aims to look into the several variables that may contribute to this occurrence, highlighting maternal and fetal influences and examining any potential ramifications and useful treatment techniques. By solving this riddle, expectant parents can be armed with knowledge and encourage a closer bond with the fantastic world developing within the womb.

What Is High Fetal Heart Rate?

Fetal tachycardia, another name for a high fetal heartbeat in an unborn child, is referred to as an abnormally high fetal heart rate. During the third trimester of pregnancy, a normal fetal heart rate usually ranges between 110 and 160 beats per minute (bpm). It's crucial to remember that fetal heart rates might change based on the gestational age, the activities of the mother, and other factors. A high fetal heart rate is often identified when the heart rate persistently surpasses 160 bpm. If a high fetal heart rate is found, more testing must ascertain the underlying cause and start the necessary management. Additional monitoring, ultrasound examinations, blood tests, and interaction with an obstetrician or specialist in maternal-fetal medicine may be necessary.

What Are the Causes of High Fetal Heart Rate in the Third Trimester?

Fetal heart rate (FHR) can vary during the third trimester of pregnancy, but a persistently high FHR may be cause for concern. A number of circumstances might cause an increased FHR during this stage of pregnancy. It is crucial to remember that any worries about the fetus's well-being should be brought up with a healthcare professional for adequate assessment and advice. Some potential causes of increased fetal heart rate during the third trimester of pregnancy are as follows.

  • Infections and Maternal Fever: Infections or fever in the mother can increase the fetus's heart rate. When the mother is suffering from various infections like respiratory infections, urinary tract infections, or other severe conditions, infection of the fetal membrane (chorioamnionitis) can lead to tachycardia in the fetus during the third trimester.

  • Maternal Anxiety or Stress: High maternal stress or anxiety levels may impact the fetal heart rate. The production of stress hormones like cortisol can affect fetal health and raise the heart rate. Pregnant women should learn stress management techniques and seek out assistance as necessary.

  • Dehydration in the Mother: Dehydration can increase the mother's heart rate, which can then impact the fetal heart rate. Pregnant women must stay adequately hydrated by consuming lots of fluids throughout the day.

  • Medication or Drug Use by the Mother: Some medicines, such as decongestants or asthma medications, can raise the fetal heart rate. Furthermore, the intake of drugs like nicotine or caffeine may impact fetal heart rate. Pregnant women should always discuss the safety of any drugs or other substances they may take with their healthcare professionals.

  • Fetal Activity: An increase in fetal movement may cause a brief increase in heart rate. This is a common reaction after meals or while the mother is active. Once the movement stops, the fetal heart rate usually settles into a normal range.

  • Maternal Hyperthyroidism: An elevated fetal heart rate can be brought on by maternal hyperthyroidism, a disorder marked by an overactive thyroid gland in the mother. It's critical that pregnant women with thyroid issues have the proper medical care, management, and monitoring.

  • Fetal Anemia: A fetus with a low number of red blood cells can cause an increase in heart rate. This can happen for several reasons, including inherited blood abnormalities or maternal antibodies attacking fetal cells. Early medical intervention and therapy are necessary for fetal anemia.

  • Maternal Hyperglycemia: High blood sugar levels in mothers can result from poorly managed gestational diabetes or pre-existing diabetes. Fetal heart rate can be impacted by elevated maternal blood sugar levels, which calls for careful observation and proper treatment.

  • Fetal Distress: An elevated fetal heart rate may occasionally indicate Fetal distress. This might happen due to poor oxygenation, placental issues, or umbilical cord constriction. Early medical intervention is necessary to identify and treat the underlying cause of fetal distress.

How to Manage High Fetal Heart Rate in the Third Trimester?

  • Seek Medical Attention: Speak with a medical physician right away on observing a fetal heart rate that is persistently elevated. To further evaluate the problem, they could want to carry out more tests or monitor the situation.

  • Remain Calm and Reduce Stress: Fetal heart rate may be impacted by stress and worry. To manage stress levels, practice relaxation techniques like prenatal yoga, meditation, or deep breathing exercises.

  • Stay Hydrated: Staying hydrated is essential because dehydration might make the mother's heart beat faster. To stay adequately hydrated during the day, consume lots of water.

  • Avoid Excessive Physical Activity: Avoid excessive physical activity because it can raise heart rate levels. While staying active throughout pregnancy is crucial, exercise moderately and avoid overdoing it.

  • Monitor Fetal Movements: Track the baby's movements by keeping an eye on his or her fetal motions. Inform a medical physician if you observe any unusual trends or a decrease in activity.

  • Follow a Healthy Lifestyle: Maintain a healthy lifestyle by quitting smoking, drinking responsibly, and abstaining from recreational drugs and alcohol, which can have an adverse effect on the health of the fetus.

  • Routine Prenatal Examinations: To keep track of the baby's development and health, have regular prenatal checkups as scheduled. Depending on the situation, a doctor can suggest additional exams or treatments.

Conclusion

In conclusion, there are several causes of an elevated fetal heart rate in the third trimester, highlighting the dynamic nature of fetal development and the mother's health at this critical time. There are a number of possible causes, including maternal stress and anxiety, fetal movements, fever, dehydration, and some drugs. It is crucial to remember that even while a high fetal heart rate can be a typical physiological reaction, speaking with healthcare experts for a thorough evaluation and suitable therapy is always advisable. Expectant mothers should actively support a healthy pregnancy by becoming aware of the factors that may contribute to a high fetal heart rate. Fetal heart rate patterns can be favorably impacted by maintaining a relaxed and stress-free environment, staying hydrated, and adhering to recommended medication restrictions.

Dr. Richa Agarwal
Dr. Richa Agarwal

Obstetrics and Gynecology

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