Electronic fetal heart monitoring, auscultation, and neonatal outcome.

Abstract:

:In a large randomized, controlled study of fetal heart rate monitoring with either continuous electronic fetal heart monitoring or auscultation at specified intervals, only one pattern of deviation in the fetal heart rate correlated significantly with neonatal neurologic examinations at 0 to 48 hours and 72 hours to 1 week: late decelerations in stage 1 and in stage 2. Other variables from labor and delivery, specifically, duration of labor after hospital admission, failure of labor to progress, number of fetal scalp pH values, and presence of meconium were important predictors of neonatal outcome in the regression analyses. The fetal heart rate deviations did contribute significantly to the percent variance accounted for in the regression analyses with neonatal outcomes of Apgar scores at 1 and 5 minutes and serial neonatal neurologic examinations.

journal_name

Am J Obstet Gynecol

authors

Ellison PH,Foster M,Sheridan-Pereira M,MacDonald D

doi

10.1016/0002-9378(91)90700-2

subject

Has Abstract

pub_date

1991-05-01 00:00:00

pages

1281-9

issue

5 Pt 1

eissn

0002-9378

issn

1097-6868

pii

0002-9378(91)90700-2

journal_volume

164

pub_type

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