The role of blood gas and acid-base assessment in the diagnosis of intrapartum fetal asphyxia.

Abstract:

:The diagnosis of fetal asphyxia requires a blood gas and acid-base assessment demonstrating a significant metabolic acidosis. However, the fetus may tolerate an asphyxial insult without central nervous system injury because of the fetal cardiovascular adaptation to hypoxemia. Prediction of the significance of an asphyxial insult to the fetus requires a measure of both the duration and degree of the asphyxia as well as an expression of the fetal compensatory response to the asphyxia.

journal_name

Am J Obstet Gynecol

authors

Low JA

doi

10.1016/0002-9378(88)90456-5

subject

Has Abstract

pub_date

1988-11-01 00:00:00

pages

1235-40

issue

5

eissn

0002-9378

issn

1097-6868

pii

0002-9378(88)90456-5

journal_volume

159

pub_type

杂志文章,评审
  • Toward normal birth-but at what cost?

    abstract::The rate of cesarean delivery has become an important health care issue, and has attracted the attention of governments, professional organizations, health care administrators, clinicians, and patients. This has resulted in the generation of guidelines, clinical recommendations, and other documents aimed at increasing...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2016.04.021

    authors: Dietz HP,Campbell S

    更新日期:2016-10-01 00:00:00

  • A pilot randomized controlled trial of two regimens of fetal surveillance for small-for-gestational-age fetuses with normal results of umbilical artery doppler velocimetry.

    abstract:OBJECTIVE:This study was undertaken to determine whether the frequency of fetal surveillance could be safely reduced from twice weekly to fortnightly in the case of small-for-gestational-age fetuses with normal results of umbilical artery Doppler velocimetry studies. STUDY DESIGN:Pregnant women between 24 and 36 weeks...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-9378(00)70494-7

    authors: McCowan LM,Harding JE,Roberts AB,Barker SE,Ford C,Stewart AW

    更新日期:2000-01-01 00:00:00

  • Presence of a human chorionic gonadotropin--like substance in human sperm.

    abstract::An hCG-like material has been extracted from human sperm. These experiments were designed to characterize this material. Sperms of 10 volunteers were separated from seminal fluid, washed in PBS three times, and resuspended in 0.5 ml of the same buffer. Samples were pooled; cells were disrupted by sonication and extrac...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(79)90733-6

    authors: Asch RH,Fernandez EO,Siler-Khodr TM,Pauerstein CJ

    更新日期:1979-12-15 00:00:00

  • Novel immunologic strategies in ovarian carcinoma.

    abstract::The purpose of our study was to develop new biologic systems for the treatment or diagnosis of patients with ovarian carcinoma through expansion of T-cell lines from the tumor-infiltrating lymphocytes of patients with ovarian carcinoma in low-dose recombinant interleukin-2 in sufficient numbers for treatment and human...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/s0002-9378(11)91735-9

    authors: Freedman RS,Ioannides CG,Mathioudakis G,Platsoucas CD

    更新日期:1992-11-01 00:00:00

  • Insulin-requiring diabetes in pregnancy: a randomized trial of active induction of labor and expectant management.

    abstract:OBJECTIVE:Our purpose was to assess whether a program of expectant management of uncomplicated pregnancies in mothers with insulin-requiring gestational or pregestational class B reduces the incidence of cesarean birth. STUDY DESIGN:Two hundred women with uncomplicated, insulin-requiring diabetes at 38 weeks' gestatio...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9378(93)90631-r

    authors: Kjos SL,Henry OA,Montoro M,Buchanan TA,Mestman JH

    更新日期:1993-09-01 00:00:00

  • Prepubertal labial adhesions: evaluation of a referral population.

    abstract:OBJECTIVE:The purpose of this study was to assess patient demographics, clinical presentation, response to previous treatment, and current evaluation of prepubertal girls referred for gynecologic care of labial agglutination. STUDY DESIGN:A retrospective chart review of all prepubertal female patients with labial aggl...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.126201

    authors: Bacon JL

    更新日期:2002-08-01 00:00:00

  • The 'immunologic theory' of preeclampsia revisited: a lesson from donor oocyte gestations.

    abstract:OBJECTIVE:To determine the prevalence of placental complications in patients conceived through donor versus autologous oocytes. STUDY DESIGN:A retrospective cohort study including 2 groups of patients who conceived through in vitro fertilization using: (1) donor oocyte (n = 139) and (2) autologous oocyte (n = 126). On...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2014.03.044

    authors: Levron Y,Dviri M,Segol I,Yerushalmi GM,Hourvitz A,Orvieto R,Mazaki-Tovi S,Yinon Y

    更新日期:2014-10-01 00:00:00

  • Fetal cerebral, circulatory, and metabolic responses during heart rate decelerations with umbilical cord compression.

    abstract:OBJECTIVE:The purpose of this study was to determine the cerebral, circulatory, and metabolic responses of the ovine fetus near term to umbilical cord compression with variable-type fetal heart rate decelerations. STUDY DESIGN:Nine fetal sheep, at 0.9 of gestation, were studied before, during, and after umbilical cord...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(96)80027-5

    authors: Richardson BS,Carmichael L,Homan J,Johnston L,Gagnon R

    更新日期:1996-10-01 00:00:00

  • Prevalence of sexual assault history among women with common gynecologic symptoms.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the prevalence of a sexual assault history among women with and without 3 common gynecologic complaints: dysmenorrhea, menorrhagia, and sexual dysfunction. STUDY DESIGN:Data came from 3 surveys of women randomly selected from general populations: 2 United States regi...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(98)70208-x

    authors: Golding JM,Wilsnack SC,Learman LA

    更新日期:1998-10-01 00:00:00

  • Polycystic ovary syndrome: abnormalities and management with pulsatile gonadotropin-releasing hormone and gonadotropin-releasing hormone analogs.

    abstract::Ovulation induction with pulsatile gonadotropin-releasing hormone achieves high ovulatory and pregnancy rates in hypogonadotropic hypogonadism while limiting the occurrence of ovarian hyperstimulation and multiple pregnancy. However, this form of therapy is apparently less effective in polycystic ovary syndrome. The a...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)91438-i

    authors: Filicori M,Flamigni C,Campaniello E,Meriggiola MC,Michelacci L,Valdiserri A,Ferrari P

    更新日期:1990-11-01 00:00:00

  • Objective structured assessment of technical skills for episiotomy repair.

    abstract:OBJECTIVE:This study was undertaken to estimate the reliability and validity of an objective structured assessment of technical skills (OSATS) for midline episiotomy repair using a lifelike anatomic model. STUDY DESIGN:Eighteen residents were administered an episiotomy OSATS. Two evaluators independently completed an ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/s0002-9378(03)00812-3

    authors: Nielsen PE,Foglia LM,Mandel LS,Chow GE

    更新日期:2003-11-01 00:00:00

  • Intravenous leiomyomatosis with cardiac involvement in a pregnant woman.

    abstract::Intravenous leiomyomatosis is a rare benign neoplasm that commonly grows into the pelvic veins and the inferior vena cava and, rarely, the right side of the heart. We report the first case of intravenous leiomyomatosis with cardiac involvement in a pregnant woman. The treatment of choice is surgical resection in two s...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(98)70453-3

    authors: Marom D,Pitlik S,Sagie A,Ovadia Y,Bishara J

    更新日期:1998-03-01 00:00:00

  • Epidemiology of low-grade serous ovarian cancer.

    abstract:OBJECTIVE:The objective of the study was to determine whether the epidemiology of low-grade ovarian serous cancers is distinct from that of high-grade ovarian serous cancers. STUDY DESIGN:The National Cancer Institute's Surveillance Epidemiology and End Results (SEER) program reports incidence, and survival, data from...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2008.01.035

    authors: Plaxe SC

    更新日期:2008-04-01 00:00:00

  • Prevalence, trends, and outcomes of chronic hypertension: a nationwide sample of delivery admissions.

    abstract:OBJECTIVE:We sought to define the prevalence, trends, and outcomes of primary and secondary chronic hypertension in a population-based sample of deliveries. STUDY DESIGN:An estimated 56,494,634 deliveries were identified from the 1995 through 2008 Nationwide Inpatient Sample. The association of primary and secondary c...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2011.10.878

    authors: Bateman BT,Bansil P,Hernandez-Diaz S,Mhyre JM,Callaghan WM,Kuklina EV

    更新日期:2012-02-01 00:00:00

  • Evaluation of the new amniostat-FLM test for the detection of phosphatidylglycerol in contaminated fluids.

    abstract::The Amniostat-FLM rapid slide test (Hana Biologics, Inc., Alameda, Calif.) for detection of phosphatidylglycerol has previously been evaluated and has shown good correlation with the more sophisticated two-dimensional thin-layer chromatographic method. A new, ultrasensitive kit has now been released with a lower level...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90429-8

    authors: Towers CV,Garite TJ

    更新日期:1989-02-01 00:00:00

  • Alterations of maternal metabolism in normal and diabetic pregnancies: differences in insulin-dependent, non-insulin-dependent, and gestational diabetes.

    abstract::In normal and diabetic pregnancies, the placenta functions as a complex endocrine gland that modulates all classes of maternal nutrients to the fetus. The metabolic alterations of normal pregnancy are diabetogenic and associated with modest resistance to endogenous insulin. Pregnant women with carbohydrate intolerance...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/0002-9378(83)90822-0

    authors: Hollingsworth DR

    更新日期:1983-06-15 00:00:00

  • Lymphokine production during term human pregnancy: differences between peripheral leukocytes and decidual cells.

    abstract::Although the fetus is considered to be an "allograft" there is little information concerning the role of lymphokines in human pregnancy. Lymphokines are polypeptides secreted by stimulated lymphocytes that direct the immune response by enabling immune effector cells to communicate with each other. To characterize lymp...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)90769-4

    authors: Dudley DJ,Mitchell MD,Creighton K,Branch DW

    更新日期:1990-12-01 00:00:00

  • Fetal membrane rupture is associated with the presence of insulin-like growth factor-binding protein-1 in vaginal secretions.

    abstract:OBJECTIVE:Our purpose was to determine whether detection of insulin-like growth factor-binding protein-1 in vaginal secretions could be used in the diagnosis of fetal membrane rupture. STUDY DESIGN:Consenting patients (n = 105) with complaints suspicious of membrane rupture between 24 and 42 weeks of gestation who had...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(94)90461-8

    authors: Lockwood CJ,Wein R,Chien D,Ghidini A,Alvarez M,Berkowitz RL

    更新日期:1994-07-01 00:00:00

  • An orthostatic uterovascular syndrome--a prospective, longitudinal study.

    abstract:OBJECTIVE:The interaction between maternal hemodynamics and uterine activity in the upright position was investigated longitudinally (358 measurements) in 40 healthy pregnant women from 20 gestational weeks to term. STUDY DESIGN:Maternal-fetal hemodynamic parameters and uterine contractions were measured noninvasively...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(93)90160-k

    authors: Schneider KT,Bung P,Weber S,Huch A,Huch R

    更新日期:1993-07-01 00:00:00

  • Adhesions after extensive gynecologic surgery: clinical significance, etiology, and prevention.

    abstract::Postoperative adhesions occur in 60% to 90% of patients undergoing major gynecologic surgery and represent one of the most common causes of intestinal obstruction in the industrialized world. The incidence of adhesion-related intestinal obstruction after gynecologic surgery for benign conditions without hysterectomy i...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/s0002-9378(94)70170-9

    authors: Monk BJ,Berman ML,Montz FJ

    更新日期:1994-05-01 00:00:00

  • Ectopic pregnancy following treatment with human gonadotropins.

    abstract::After treatment with human gonadotropins, 289 anovulatory women with apparently normal fallopian tubes became pregnant 379 times. Ten ectopic pregnancies in nine women were diagnosed, for an incidence of 2.7% of all conceptions. All the ectopic pregnancies were found in the fallopian tubes. Four patients had also an i...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(82)90006-0

    authors: Gemzell C,Guillome J,Wang CF

    更新日期:1982-08-01 00:00:00

  • Changing hysterectomy patterns after introduction of laparoscopically assisted vaginal hysterectomy.

    abstract:OBJECTIVE:The objective of this study was to determine whether introduction of laparoscopically assisted vaginal hysterectomy decreases the percentage of women requiring laparotomy for hysterectomy. STUDY DESIGN:A retrospective review of women undergoing hysterectomies from 1990 through 1992 was performed. Type of hys...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(94)70032-x

    authors: Harris MB,Olive DL

    更新日期:1994-08-01 00:00:00

  • Cardiovascular collapse during laparoscopy: a report of two cases.

    abstract::Cardiovascular collapse is a rare but serious complication of laparoscopy. Presented here are two cases of sudden cardiovascular collapse during laparoscopy. Possible causes include severe atypical vagal reactions and carbon dioxide embolism. Arterial blood gases indicated pulmonary vascular shunting. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(88)80044-9

    authors: Brantley JC 3rd,Riley PM

    更新日期:1988-09-01 00:00:00

  • Maternal serum alpha-fetoprotein levels in pregnancies among black and white women with fetal open spina bifida: a United States collaborative study.

    abstract::In the present study second-trimester maternal serum alpha-fetoprotein levels were analyzed from 146 pregnancies associated with fetal open spina bifida to identify whether affected pregnancies from the black population were associated with higher maternal serum alpha-fetoprotein levels than their white counterparts. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)90379-l

    authors: Johnson AM,Palomaki GE,Haddow JE

    更新日期:1990-02-01 00:00:00

  • Psychometric testing as a basis for counseling patients choosing a method of contraception. A retrospective survey.

    abstract::To investigate the merits of using psychometric testing as a predictive adjunct to counseling patients in the choice of a contraceptive method, 134 family-planning patients using an oral contraceptive for one year or longer completed the Neuroticism Scale Questionnaire. Clinic records of these patients were examined t...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(76)90016-8

    authors: Brooks GG,Butcalis MR

    更新日期:1976-01-01 00:00:00

  • Soluble endoglin as a second-trimester marker for preeclampsia.

    abstract:OBJECTIVE:The objective of this investigation was to characterize soluble endoglin (sEng) concentrations in second-trimester serum of women who either develop preeclampsia or have a normal pregnancy. STUDY DESIGN:Single second-trimester serum samples obtained from healthy, nonsmoking women who subsequently developed s...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2007.03.058

    authors: Robinson CJ,Johnson DD

    更新日期:2007-08-01 00:00:00

  • Premenstrual syndrome: weight, abdominal swelling, and perceived body image.

    abstract::One hundred forty-eight menstrual cycles were studied in 52 women, and in each cycle various parameters were measured to determine an objective means of assessing the syndrome. Daily mood assessment, body weight, plasma 17 beta-estradiol levels, and plasma progesterone levels were measured. The abdominal dimensions we...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(84)80016-2

    authors: Faratian B,Gaspar A,O'Brien PM,Johnson IR,Filshie GM,Prescott P

    更新日期:1984-09-15 00:00:00

  • Cognitive dysfunction with tolterodine use.

    abstract::This is the first case of a 65 year old healthy woman developing de novo mental confusion during treatment with 2 mg tolterodine twice daily. It is a rare complication of therapy for overactive bladder and resolved when dosage was reduced to 1 mg, although overactive bladder symptoms were still controlled. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2007.04.051

    authors: Salvatore S,Serati M,Cardozo L,Uccella S,Bolis P

    更新日期:2007-08-01 00:00:00

  • Coexistence of mucinous cystadenoma of the ovary and ovarian sarcoidosis.

    abstract::A case of ovarian and systemic sarcoidosis with mucinous cystadenoma coexisting in the same ovary is described. This association has not been previously reported. The differentiation of systemic sarcoidosis from metastatic spread of ovarian cancer and from sarcoid-like reactions in regional lymph nodes of tumors is di...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)90038-9

    authors: White A,Flaris N,Elmer D,Lui R,Fanburg BL

    更新日期:1990-05-01 00:00:00

  • Clinical utility of saline solution infusion sonohysterography in a primary care obstetric-gynecologic practice.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the role of saline solution infusion sonohysterography in clinical practice in patients with abnormal uterine bleeding. STUDY DESIGN:A prospective case-controlled study was conducted comparing two-dimensional transvaginal imaging with saline solution infusion sonohys...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(97)70351-x

    authors: Laughead MK,Stones LM

    更新日期:1997-06-01 00:00:00