PREDICTION OF FETAL DISTRESS AND POOR OUTCOME IN INTRAUTERINE GROWTH-RETARDATION - A COMPARISON OF FETAL HEART-RATE MONITORING COMBINED WITH STRESS TESTS AND DOPPLER ULTRASOUND

被引:17
作者
ARABIN, B
BECKER, R
MOHNHAUPT, A
ENTEZAMI, M
WEITZEL, HK
机构
[1] Department of Obstetrics and Gynecology, Klinikum Steglitz of the Free University of Berlin
关键词
PRENATAL DOPPLER MEASUREMENTS; NON-STRESS TESTS; STRESS TESTS; SUPERVISION OF INTRAUTERINE GROWTH RETARDATION;
D O I
10.1159/000263833
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
One hundred and three intrauterine growth retardation (IUGR) pregnancies were scheduled for pulsed Doppler ultrasound of the common carotid and the umbilical artery, non-stress and contraction stress tests (NST/CST) as well as vibro-acoustic stimulation tests (VAST). The last examinations < 3 days before birth were compared by receiver-operator characteristics: Results of the resistance indices of fetal common carotid/umbilical artery and NST were more predictive of later fetal distress during labour, compared to CST and VAST (p < 0.001/ < 0.01). Similar results were found for the prediction of low pH and Apgar values, though differences were less pronounced. Our results suggest that stressful examinations should be abolished from mother and fetus in the supervision of IUGR.
引用
收藏
页码:234 / 240
页数:7
相关论文
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