What is the reason for fetal heart monitoring being over 200?

Patient's question:

Sister is already 40 years old this year, and she is now considered a high-risk pregnancy. She is currently pregnant, and I accompany her to the hospital for a check-up. However, the check-up result shows a fetal heartbeat of 200. So, I would like to understand what could be the reason for a fetal heartbeat of 200?

Doctor's answer:

Based on your description, the normal fetal heart rate is 120~160 beats per minute after pregnancy. If a color Doppler ultrasound at the hospital shows a fetal heart rate of 200 beats, it is considered tachycardia, and the possibility of fetal intracranial hypoxia cannot be ruled out. It is recommended to undergo fetal heart monitoring at the hospital. If it shows fetal intracranial hypoxia, oxygen therapy is needed. If the condition does not improve after oxygen therapy, a cesarean section may be necessary to terminate the pregnancy to prevent fetal intracranial asphyxiation.

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