Diagnosis of fetal jeopardy by assessment of fetal movement and heart rate accelerations.

Abstract:

:Assessment of fetal movements by the pregnant woman is a useful screening test in high and low risk pregnancies. Decreased fetal movements to less than 10 during 12 hours is an expression of fetal distress, and may be the first alert of impending fetal death. Pregnancies with decreased fetal activity comprise a very high risk group, however some normal pregnancies are still included. With the object of excluding false positive observations, fetal heart rate monitoring was added as a secondary screening procedure. There were seventy patients with diminished fetal movements, 28 had two or more fetal heart rate accelerations in twenty minutes, while 42 had one or no accelerations in twenty minutes. In the former group there was no perinatal mortality, while in the latter, 18 (42.8%) succumbed either pre- (16.6%) or post-natally (26.2%). It is suggested that daily fetal movement recording should be the primary screening test for pregnant women. Whenever reduced fetal activity to less than 10 in 12 hours is perceived, fetal heart rate should be monitored. The existence of at least two accelerations in 20 minutes excludes all the fetuses prone to disaster. One or no accelerations in 20 minutes when coexisting with decreased fetal movements, have a very grave prognosis, and interruption of pregnancy should be considered.

journal_name

J Perinat Med

authors

Navot D,Yaffe H,Sadovsky E

doi

10.1515/jpme.1983.11.3.175

subject

Has Abstract

pub_date

1983-01-01 00:00:00

pages

175-8

issue

3

eissn

0300-5577

issn

1619-3997

journal_volume

11

pub_type

杂志文章
  • Double exposure to intra-amniotic lipopolysaccharide and maternal betamethasone induces sustained increase of neutrophils in the lungs and disrupts alveolarization in newborn rats.

    abstract:AIM:We investigated the combined effects of intra-amniotic lipopolysaccharide (LPS) and maternal betamethasone (BMZ) on alveolarization using a newborn rat model. METHODS:LPS (1.0 μg/sac) or vehicle was injected into the amniotic sacs of pregnant rats and BMZ (170 μg/kg) or vehicle was injected intramuscularly into th...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpm-2013-0063

    authors: Lee HJ,Lee YJ,Jo HS,Choi CW,Kim EK,Kim HS,Kim BI,Choi JH

    更新日期:2013-11-01 00:00:00

  • The outcome of post-term pregnancy. A comparative study.

    abstract::The aim of this study was to evaluate whether prolonged pregnancy was associated with dangers to the fetus, and to assess the incidence of cesarean section as well as fetal distress. The outcome for mother and baby in both groups of patients with post-term pregnancies was generally good. Furthermore, the improvement o...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpme.1995.23.3.183

    authors: Kaplan B,Goldman GA,Peled Y,Hecht-Resnick R,Neri A,Ovadia J

    更新日期:1995-01-01 00:00:00

  • Weight gain and dietary intake during pregnancy in industrialized countries--a systematic review of observational studies.

    abstract:BACKGROUND:Gestational weight gain (GWG) above the recently recommended ranges is likely to be related to adverse pregnancy outcomes and therefore a challenge in industrialized countries. AIMS:We conducted a systematic review on observational studies in order to gain more evidence on whether diets with lower caloric/p...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章,评审

    doi:10.1515/jpm.2010.127

    authors: Streuling I,Beyerlein A,Rosenfeld E,Schukat B,von Kries R

    更新日期:2011-03-01 00:00:00

  • The correlation of ultrasonographic placental architecture with placental histology in the low-risk primigravid population.

    abstract:AIM:To determine the association, if any, between placental architecture findings assessed ultrasonographically at 22 and 36 weeks and placental histology. METHODS:There was prospective recruitment of 1011 low-risk primigravids from the antenatal clinic at the Rotunda Hospital, Dublin, Ireland. Ultrasound of the place...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpm-2013-0015

    authors: Cooley SM,Donnelly JC,Walsh T,McMahon C,Gillan J,Geary MP

    更新日期:2013-09-01 00:00:00

  • Stillbirths in women with pre-gravid obesity.

    abstract::Objective To determine the association between pre-gravid obesity and stillbirth. Methods A retrospective study of a population-based dataset of births at ≥34 weeks' gestation. We excluded fetal deaths due to lethal anomalies and intrapartum fetal deaths. We calculated the incidence of stillbirths, neonatal respirator...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpm-2018-0266

    authors: Merc MD,Lučovnik M,Bregar AT,Verdenik I,Tul N,Blickstein I

    更新日期:2019-04-24 00:00:00

  • Microbial invasion of the amniotic cavity in preeclampsia as assessed by cultivation and sequence-based methods.

    abstract:OBJECTIVE:Infection has been implicated in the pathogenesis of preeclampsia, yet the association between microbial invasion of the amniotic cavity (MIAC) and preeclampsia has not been determined. The aim of this study was to determine the prevalence, and microbial diversity associated with MIAC, as well as the nature o...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpm.2010.078

    authors: DiGiulio DB,Gervasi M,Romero R,Mazaki-Tovi S,Vaisbuch E,Kusanovic JP,Seok KS,Gómez R,Mittal P,Gotsch F,Chaiworapongsa T,Oyarzún E,Kim CJ,Relman DA

    更新日期:2010-09-01 00:00:00

  • The evidence linking maternal nutrition and prematurity.

    abstract::Maternal nutrition may be one of the most important under-evaluated factors contributing to the contemporary rise in prematurity in the United States and other industrialized nations around the world. Slowed fetal growth has been repeatedly shown to be associated with preterm birth, in both singleton and twin pregnanc...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章,评审

    doi:10.1515/JPM.2005.088

    authors: Luke B

    更新日期:2005-01-01 00:00:00

  • Atrial natriuretic factor in neonatal hypoxic-ischemic encephalopathy.

    abstract::The influence of perinatal asphyxia in the secretion of atrial natriuretic factor (ANF) during the first 6 days of life, and its renal consequences are discussed. Comparison between 20 healthy term neonates and 19 with first--or second--degree hypoxic-ischemic encephalopathy (HIE) is made. Daily controls were performe...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:

    authors: Carbonell X,Figueras J,Salvia MD,Esque MT,Delgado MP,Jimenez R

    更新日期:1993-01-01 00:00:00

  • A high concentration of fetal fibronectin in cervical secretions increases the risk of intra-amniotic infection and inflammation in patients with preterm labor and intact membranes.

    abstract::Objective To determine whether the risk of intra-amniotic infection/inflammation and spontaneous preterm delivery (SPTD) varies as a function of the concentration of cervical fetal fibronectin (fFN) in patients with preterm labor and intact membranes. Methods This prospective study included 180 patients with preterm l...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpm-2018-0351

    authors: Oh KJ,Romero R,Park JY,Kang J,Hong JS,Yoon BH

    更新日期:2019-04-24 00:00:00

  • Excretion of ketobemidone in human breast milk.

    abstract::The excretion of ketobemidone into human breast milk was investigated in three women who obtained ketobemidone as postoperative pain relief after Cesarean section and two women premedicated with 5 mg of ketobemidone before currettage after delivery. The highest observed concentration of ketobemidone in breast milk was...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpme.1996.24.3.293

    authors: Gerdin E,Bondesson U,Hartvig P

    更新日期:1996-01-01 00:00:00

  • Assessing the utility of the Healthy Start Screen to predict an elevated Edinburgh Postnatal Depression Scale score.

    abstract::Objective To examine the utility of the Healthy Start Screen (HSS), which is an assessment of health, environment, and behavioral risk factors offered to all pregnant women in the state of Florida, in identifying women at risk for developing postpartum depression (PPD). Methods The sample for this Institutional Review...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpm-2019-0472

    authors: Padilla MM,Roussos-Ross D,Goodin AJ

    更新日期:2020-06-25 00:00:00

  • Tape-recorded EEG and the cerebral function monitor: amplitude-integrated, time-compressed EEG.

    abstract::Monitoring of spontaneous brain electrical activity (EEG) has three purposes: Detecting sudden loss of background activity as an early sign of brain hypoxia/ischaemia, detection of silent seizures, and helping to diagnose brain damage. Tape-recording allows storage of upto 8 channels of standard EEG for prolonged peri...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Greisen G

    更新日期:1994-01-01 00:00:00

  • European Community Multicentre Trial "Fetal ECG Analysis During Labour": the P-R interval.

    abstract::The aim of the European Community Multicentre Trial on Fetal ECG Analysis During Labour was to collect a clinical database of electrocardiograms on which the different patterns of ST waveform and time interval changes, so far identified, could be studied. The aim of this paper was to study the PR-RR relationship and t...

    journal_title:Journal of perinatal medicine

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1515/jpme.1997.25.1.27

    authors: Luzietti R,Erkkola R,Hasbargen U,Mattson LA,Thoulon JM,Rosén KG

    更新日期:1997-01-01 00:00:00

  • rhEPO treatment of postpartum anemia.

    abstract::Postpartum hemorrhage is a continuing problem occurring in 5-10% of all deliveries. Due to recent problems with blood transfusion, heterologous blood is nowadays restricted to life-threatening indications. As a consequence the clinician is faced with many patients suffering from overt symptoms of anemia. We therefore ...

    journal_title:Journal of perinatal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1515/jpme.1995.23.1-2.111

    authors: Zimmermann R,Breymann C,Richter C,Huch R,Huch A

    更新日期:1995-01-01 00:00:00

  • Listeriosis in human pregnancy: a systematic review.

    abstract::Listeria is commonly found in processed and prepared foods and listeriosis is associated with high morbidity and mortality. Preventative measures are well prescribed and monitoring and voluntary recall of contaminated products has resulted in a 44% reduction in the prevalence of perinatal listeriosis in the USA. Pregn...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章,评审

    doi:10.1515/jpm.2011.035

    authors: Lamont RF,Sobel J,Mazaki-Tovi S,Kusanovic JP,Vaisbuch E,Kim SK,Uldbjerg N,Romero R

    更新日期:2011-05-01 00:00:00

  • Placental pathology and pregnancy outcomes in donor and non-donor oocyte in vitro fertilization pregnancies.

    abstract:OBJECTIVE:Intrinsically poor maternal adaptation to pregnancy and dysregulated processes have been postulated to occur as a consequence of an immune response to the feto-placental unit as "foreign" material. The aim of our study was to compare placental pathology and pregnancy outcomes of in vitro fertilization (IVF) p...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/JPM.2005.004

    authors: Perni SC,Predanic M,Cho JE,Baergen RN

    更新日期:2005-01-01 00:00:00

  • The origin of amniotic fluid monocytes/macrophages in women with intra-amniotic inflammation or infection.

    abstract::Background Monocytes, after neutrophils, are the most abundant white blood cells found in the amniotic cavity of women with intra-amniotic inflammation/infection. However, the origin of such cells has not been fully investigated. Herein, we determined (1) the origin of amniotic fluid monocytes/macrophages from women w...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpm-2019-0262

    authors: Gomez-Lopez N,Romero R,Leng Y,Xu Y,Slutsky R,Levenson D,Pacora P,Jung E,Panaitescu B,Hsu CD

    更新日期:2019-10-25 00:00:00

  • Evaluation of C. reactive protein values in neonatal sepsis.

    abstract::C. reactive protein (CRP) estimations were performed prospectively on 30 consecutive admissions of very low birth weight infants to a Regional neonatal intensive care unit. The samples were analysed by a recently described, rapid intralipid agglutination assay and by a reference turbidimetric technique. Two hundred an...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpme.1990.18.3.157

    authors: Shortland DB,MacFadyen U,Elston A,Harrison G

    更新日期:1990-01-01 00:00:00

  • The relationship between cesarean section rate in term singleton pregnancies, maternal weight, and weight gain during pregnancy.

    abstract:OBJECTIVE:Pregravid maternal weight and appropriate weight gain during pregnancy might be associated with increased cesarean section rate. STUDY DESIGN:We used data from the Slovenian National Perinatal Information System to select singleton pregnancies born at ≥38 weeks, during the period between 2003 and 2012. We ca...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpm-2015-0117

    authors: Trojner-Bregar A,Blickstein I,Lucovnik M,Steblovnik L,Verdenik I,Tul N

    更新日期:2016-05-01 00:00:00

  • A preliminary study of uterine scar tissue following cesarean section.

    abstract:AIM:To compare smooth muscle cells, type I collagen, and apoptosis of the lower uterine segment of women who had/without a prior cesarean delivery. METHODS:Alpha smooth muscle actin (α-SMA), type I collagen, and nuclear apoptosis were compared between the groups from lower uterine segment. Twenty-eight controls and 82...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpm-2016-0347

    authors: Wu C,Chen X,Mei Z,Zhou J,Wu L,Chiu WH,Xiao X

    更新日期:2018-05-24 00:00:00

  • Thrombocytopoiesis in healthy term newborns.

    abstract:AIMS:Thrombocytopoiesis was investigated in term newborns determining thrombopoietin (TPO), reticulated platelets (PLRET) and blood platelets (PLT) in relation to gender. PATIENTS AND METHODS:The study was undertaken on 72 healthy term newborns, 33 girls and 39 boys. They fitted all criteria for healthy term newborns....

    journal_title:Journal of perinatal medicine

    pub_type: 临床试验,杂志文章

    doi:10.1515/JPM.2005.046

    authors: Wasiluk A

    更新日期:2005-01-01 00:00:00

  • Prospective and retrospective examination of an easily applicable score to predict the probability of premature birth defined by weight.

    abstract::An easily applicable score to predict the risk of prematurity (Tab. I) (defined by weight) is examined prospectively (scoring during 6 th month of pregnancy) in 431 and retrospectively (obtained after delivery) in 1183 pregnancies. In the prospective study (Tab. II) 71.4% of all pregnancies resulting in babies below 2...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpme.1976.4.1.38

    authors: Thalhammer O,Coradello H,Pollak A,Scheibenreiter S,Simbruner G

    更新日期:1976-01-01 00:00:00

  • Changes in lymphocyte subsets during pregnancy and post-partum in cases of beginning eclampsia.

    abstract:AIMS:The goal of the present retrospective study was to examine the peripheral blood lymphocytes for expression of phenotypic and activation markers concerning the development of hypertension in pregnancy. METHODS:16 women (aged 25-43 years; mean 35.1) developing hypertension in the third trimester (week 25-34) have h...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/JPM.2000.050

    authors: Kühnert M,Schmidt S

    更新日期:2000-01-01 00:00:00

  • Obstetrical factors for death and brain injury among extremely-low-birth-weight infants.

    abstract:OBJECTIVE:To examine the obstetrical risk factors for death and brain injury among extremely-low-birth-weight (ELBW) infants (birth weight <1000 g). STUDY DESIGN:Study subjects were 121 ELBW infants born at a single tertiary perinatal center. Death among ELBW infants was considered to have occurred when subjects died ...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/JPM.2007.111

    authors: Fukami T,Yoshizato T,Mori T,Yukitake K,Miyake Y,Kawarabayashi T

    更新日期:2007-01-01 00:00:00

  • The application of individualised fetal growth curves.

    abstract::Individually adjusted or 'customised' growth charts aim to optimise the assessment of fetal growth by taking individual variation into account, and by projecting an optimal curve which delineates the potential weight gain in each pregnancy. This results in an increased detection rate of true growth restriction and a r...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章,评审

    doi:10.1515/jpme.1998.26.4.333

    authors: Gardosi J

    更新日期:1998-01-01 00:00:00

  • Gastrointestinal contrast studies in high-risk neonates with suspected necrotising enterocolitis--a note of caution.

    abstract::Upper gastrointestinal contrast studies are frequently performed in neonates to rule out conditions such as malrotation. Low osmolality water-soluble (LOWS) contrast media are currently considered safe for use in neonates. The clinical course of a neonate with suspected necrotising enterocolitis, who deteriorated sign...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/JPM.2003.080

    authors: Travadi J,Patole S,Simmer K

    更新日期:2003-01-01 00:00:00

  • Growth attainment in German children born preterm, and cardiovascular risk factors in adolescence. Analysis of the population representative KiGGS data.

    abstract:AIM:To compare the growth attainment of preterm children and their cardiovascular risk factors at adolescence with the values measured in term children in Germany. METHODS:About 17,641 children aged 0 to <18 years were studied between 2003 and 2006 in the population representative German KiGGS survey ("German Health I...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpm-2016-0294

    authors: Bergmann RL,Bergmann KE,Richter R,Schlaud M,Henrich W,Weichert A

    更新日期:2017-07-26 00:00:00

  • MRI during pregnancy.

    abstract::The use of ultrasonography (USG) during pregnancy provides a tremendous amount of valuable information about fetal and maternal well-being. However, in some cases the image quality may be poor due to maternal fat tissue, fetal position, or some other reason. Magnetic resonance imaging (MRI) can provide clear images fr...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章,评审

    doi:10.1515/JPM.2003.070

    authors: Kawabata I,Takahashi Y,Iwagaki S,Tamaya T

    更新日期:2003-01-01 00:00:00

  • The effects of Betamethasone on white blood cells during pregnancy with PPROM.

    abstract:OBJECTIVE:To determine the effects of Betamethasone injections on maternal white blood cell counts. STUDY DESIGN:Thirteen pregnant women without fever or clinical infection and with premature rupture of the membranes at less than 34 weeks gestation were studied. No subject had labor during the week of study. Daily com...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章

    doi:10.1515/jpme.1998.26.3.204

    authors: Diebel ND,Parsons MT,Spellacy WN

    更新日期:1998-01-01 00:00:00

  • New data about embryonic and fetal neurodevelopment and behavior obtained by 3D and 4D sonography.

    abstract::The development of the human central nervous system (CNS) begins in the early embryonic period and proceeds through a sequence of very complicated processes long after delivery. Although the neurodevelopmental processes are genetically determined, their complexity and intensity implicates the vulnerability of the CNS ...

    journal_title:Journal of perinatal medicine

    pub_type: 杂志文章,评审

    doi:10.1515/JPM.2005.086

    authors: Salihagic-Kadic A,Kurjak A,Medić M,Andonotopo W,Azumendi G

    更新日期:2005-01-01 00:00:00