Combined (stressed and non-stressed) antenatal fetal heart rate monitoring

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Show simple item record Odendaal H.J. Basson J.P.H. 2011-05-15T16:16:22Z 2011-05-15T16:16:22Z 1979
dc.identifier.citation European Journal of Obstetrics Gynecology and Reproductive Biology
dc.identifier.citation 9
dc.identifier.citation 6
dc.identifier.issn 03012115
dc.description.abstract Acceleration patterns of the fetal heart rate, or a normal heart rate during spontaneous contractions, were used as a short weekly screening test to evaluate fetal well-being in 1102 high-risk pregnancies. When accelerations or contractions were absent during the initial screening, oxytocin was administered to stimulate uterine contractions. The mean duration of the antenatal monitoring was 18.5 min when the initial antenatal monitoring was normal, but 38.8 min when the initial results were uncertain. Oxytocin was administered to 38% of patients. This reduced the number of occasions where the diagnosis was uncertain from 46.6% to 12%. Patients with uncertain antenatal fetal monitoring had significantly more late decelerations during labor as well as newborns with low Apgar scores when compared to those with normal antenatal monitoring. Patients with abnormal antenatal monitoring (positive stress test) had significantly more low 5-min Apgar scores, late decelerations during labor and growth-retarded infants than the patients with normal antenatal fetal monitoring. Only 1 intrauterine death occurred within 7 days of a normal antenatal heart rate recording. No preventable fetal deaths occurred when antenatal monitoring demonstrated an acceleration pattern of the fetal heart rate.
dc.subject oxytocin
dc.subject apgar score
dc.subject deceleration
dc.subject delivery
dc.subject diagnosis
dc.subject female genital system
dc.subject fetus
dc.subject fetus heart rate
dc.subject fetus monitoring
dc.subject heart
dc.subject high risk pregnancy
dc.subject methodology
dc.subject normal value
dc.subject stress
dc.subject uterus contraction
dc.subject Female
dc.subject Fetal Monitoring
dc.subject Heart Rate, Fetal
dc.subject Human
dc.subject Oxytocin
dc.subject Pregnancy
dc.subject Support, Non-U.S. Gov't
dc.subject Uterine Contraction
dc.title Combined (stressed and non-stressed) antenatal fetal heart rate monitoring
dc.type Article
dc.description.version Article
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