The prediction of fetal oxygenation by an on-line computer analysis of fetal monitor output.

Abstract:

:The deceleration delay index (DDI) is a statistical parameter computed by an on-line system which analyzes fetal monitor output for the temporal relationship between each uterine contraction and any associated deceleration of the fetal heart rate. A similar parameter describing this relationship is known to be quantitatively predictive of fetal oxygenation in the rhesus monkey, a species for which the level of fetal oxygenation is also known to be directly and progressively related to aberrations in the vital signs, to brain damage, and to fetal death. Thus, the DDI should be of significant, practical value in predicting fetal hypoxia at a time early enough to avert severe neonatal depression and/or hypoxic brain damage. A blind clinical trial of 106 parturients is presented which supports this concept by showing the DDI to be highly correlated with another oxygenation-associated parameter, the one-minute Apgar score.

journal_name

Am J Obstet Gynecol

authors

Huddleston JF,Perlis HW,Macy J Jr,Myers RE,Flowers CE Jr

doi

10.1016/0002-9378(77)90205-8

subject

Has Abstract

pub_date

1977-07-15 00:00:00

pages

599-605

issue

6

eissn

0002-9378

issn

1097-6868

pii

0002-9378(77)90205-8

journal_volume

128

pub_type

临床试验,杂志文章
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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(87)80355-1

    authors: Oian P,Maltau JM

    更新日期:1987-07-01 00:00:00

  • The contribution of the beta-adrenergic system to the cardiovascular response to hypovolemia.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(16)32238-4

    authors: Ushioda E,Nuwayhid B,Kleinman G,Tabsh K,Brinkman CR 3rd,Assali NS

    更新日期:1983-10-15 00:00:00

  • Acceptance of amniocentesis by low-income patients in an urban hospital.

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    更新日期:1980-09-01 00:00:00

  • A novel model of polyhydramnios: amniotic fluid volume is increased in aquaporin 1 knockout mice.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2005.02.046

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    更新日期:2005-06-01 00:00:00

  • The variability of viability: the effect of physicians' perceptions of viability on the survival of very low--birth weight infants.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(82)90114-4

    authors: Goldenberg RL,Nelson KG,Dyer RL,Wayne J

    更新日期:1982-07-15 00:00:00

  • Uterine activity during pregnancy and labor assessed by simultaneous recordings from the myometrium and abdominal surface in the rat.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(98)70498-3

    authors: Buhimschi C,Boyle MB,Saade GR,Garfield RE

    更新日期:1998-04-01 00:00:00

  • Universal access to contraception: women, families, and communities benefit.

    abstract::Universal access to contraception benefits society: unintended pregnancies, maternal mortality, preterm birth, abortions, and obesity would be reduced by increasing access to affordable contraception. Women should be able to choose when and whether to use contraception, choose which method to use, and have ready acces...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2019.09.014

    authors: Rice LW,Espey E,Fenner DE,Gregory KD,Askins J,Lockwood CJ

    更新日期:2020-02-01 00:00:00

  • Positive groin lymph nodes in superficial squamous cell vulvar cancer. A Gynecologic Oncology Group Study.

    abstract::The term microinvasive carcinoma is inappropriate when applied to all vulvar cancers less than or equal to 5 mm thick because approximately 50% of vulvar carcinomas are no thicker than 5 mm and 20% of those superficial tumors metastasize to the lymph nodes. The significant predictors of groin node metastases in patien...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(87)90132-3

    authors: Sedlis A,Homesley H,Bundy BN,Marshall R,Yordan E,Hacker N,Lee JH,Whitney C

    更新日期:1987-05-01 00:00:00

  • Fetal acidosis, 2-chloroprocaine, and epidural anesthesia for cesarean section.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(85)90295-9

    authors: Philipson EH,Kuhnert BR,Syracuse CD

    更新日期:1985-02-01 00:00:00

  • Endometritis following cesarean section. A controlled study of the increased duration of hospital stay and direct cost of hospitalization.

    abstract::The increased hospital stay and direct costs of hospitalization as a result of postcesarean section endometritis were evaluated in a case-matched and controlled study (N = 20 in each group). Endometritis increased postcesarean section hospital stay by 3 days and increased hospital cost by $850. Fifteen to 20% of women...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

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    更新日期:1980-06-15 00:00:00

  • Cerclage for cervical shortening at fetoscopic laser photocoagulation in twin-twin transfusion syndrome.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ajog.2012.02.022

    authors: Papanna R,Habli M,Baschat AA,Bebbington M,Mann LK,Johnson A,Ryan G,Walker M,Lewis D,Harman C,Crombleholme T,Moise KJ Jr

    更新日期:2012-05-01 00:00:00

  • Prevention of preeclampsia with aspirin.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2020.08.045

    authors: Rolnik DL,Nicolaides KH,Poon LC

    更新日期:2020-08-21 00:00:00

  • Inferior vena cava compression in the pregnant dog.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(78)90365-4

    authors: Abitbol MM

    更新日期:1978-01-15 00:00:00

  • Defining uterine tachysystole: how much is too much?

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    pub_type: 杂志文章

    doi:10.1016/j.ajog.2012.07.032

    authors: Stewart RD,Bleich AT,Lo JY,Alexander JM,McIntire DD,Leveno KJ

    更新日期:2012-10-01 00:00:00

  • Preterm premature rupture of the membranes is associated with a reduction in neonatal respiratory distress syndrome.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.126203

    authors: Sims EJ,Vermillion ST,Soper DE

    更新日期:2002-08-01 00:00:00

  • Associations between the vaginal microbiome and Candida colonization in women of reproductive age.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2019.10.008

    authors: Tortelli BA,Lewis WG,Allsworth JE,Member-Meneh N,Foster LR,Reno HE,Peipert JF,Fay JC,Lewis AL

    更新日期:2020-05-01 00:00:00

  • Transabdominal amnioinfusion in oligohydramnios at term before induction of labor with intact membranes: a randomized clinical trial.

    abstract:OBJECTIVE:Our purpose was to determine the effectiveness of transabdominal amnioinfusion before induction of labor in reducing the incidence of fetal distress in pregnancies with oligohydramnios at term. STUDY DESIGN:Between June 1991 and September 1994 primiparous women with ultrasonographic evidence of oligohydramni...

    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(96)70163-1

    authors: Vergani P,Ceruti P,Strobelt N,Locatelli A,D'Oria P,Mariani S

    更新日期:1996-08-01 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

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    更新日期:1998-10-01 00:00:00

  • Detecting changes in functional ability in women with premenstrual syndrome.

    abstract::There has been a lack of objective assessment of the disruptive effect that the symptomatology of premenstrual syndrome has on the functional performance of affected women. This study assessed the functional performance of women with premenstrual syndrome at four phases of the menstrual cycle. Twelve women with premen...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(87)90267-5

    authors: Posthuma BW,Bass MJ,Bull SB,Nisker JA

    更新日期:1987-02-01 00:00:00

  • Burnout in chairs of obstetrics and gynecology: diagnosis, treatment, and prevention.

    abstract:OBJECTIVE:The purpose of this study was to determine the prevalence of burnout in chairs of academic departments of obstetrics and gynecology, identify important stressors, and develop strategies to treat and prevent burnout. STUDY DESIGN:We performed a cross-sectional study of 131 chairs in the United States and Puer...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.122391

    authors: Gabbe SG,Melville J,Mandel L,Walker E

    更新日期:2002-04-01 00:00:00

  • Histomorphometry of the human placenta in maternal preeclampsia.

    abstract::The placentas of five mothers with severe preeclampsia who gave birth to moderately growth-retarded term infants were compared to a group of placentas collected from mothers who had uncomplicated pregnancies and normal term infants who were appropriate for gestational age. This study demonstrated that, on a quantitati...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(85)80170-8

    authors: Teasdale F

    更新日期:1985-05-01 00:00:00

  • The effect of mode of delivery on the perinatal outcome in fetuses with abdominal wall defects.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)91079-r

    authors: Moretti M,Khoury A,Rodriquez J,Lobe T,Shaver D,Sibai B

    更新日期:1990-09-01 00:00:00

  • Intrauterine ultrasonographic assessments of embryonic development.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90425-5

    authors: Fujiwaki R,Hata T,Hata K,Kitao M

    更新日期:1995-12-01 00:00:00

  • Ethical challenges of decision making with pregnant patients who have schizophrenia.

    abstract:OBJECTIVE:Because there is a dearth of literature, we developed an ethical framework to guide decision making about the management of pregnancy of patients with schizophrenia. STUDY DESIGN:We review pertinent literature on schizophrenia and pregnancy, including information on maternal and fetal risks and outcomes, and...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.125767

    authors: McCullough LB,Coverdale JH,Chervenak FA

    更新日期:2002-09-01 00:00:00

  • The effect of placental isolation on umbilical artery blood gas measurements.

    abstract:OBJECTIVE:We conducted a study to determine whether the pH and base excess of umbilical artery blood samples are significantly different when taken from a double-clamped segment of umbilical cord as compared with a nonisolated segment of umbilical cord. STUDY DESIGN:A prospective study with 43 singleton pregnancies wa...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2006.10.885

    authors: Leung WI,Lyndon CA

    更新日期:2007-05-01 00:00:00

  • A single physician's experience with four thousand six hundred genetic amniocenteses.

    abstract:OBJECTIVE:We sought to assess changes in indications, technique, successful fluid aspiration, and pregnancy outcomes in a large cohort of genetic amniocenteses performed by a single physician. STUDY DESIGN:Records were reviewed regarding 4600 women who underwent genetic amniocentesis by a single physician between 1972...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2001.116737

    authors: Horger EO 3rd,Finch H,Vincent VA

    更新日期:2001-08-01 00:00:00

  • Preterm discordant twins: what birth weight difference is significant?

    abstract:OBJECTIVE:The purpose of this study was to determine the effect of discordant fetal growth on subsequent perinatal and neonatal outcome for different degrees of birth weight discordance in preterm twin gestations. STUDY DESIGN:One hundred twenty-two live born twin sets delivered between 25 and 34 completed weeks' gest...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90027-6

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    更新日期:1995-03-01 00:00:00

  • Recurrent acute fatty liver of pregnancy.

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    journal_title:American journal of obstetrics and gynecology

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    doi:10.1016/0002-9378(90)91191-e

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    更新日期:1990-08-01 00:00:00

  • 2-Chloroprocaine for local perineal infiltration.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

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    更新日期:1987-11-01 00:00:00

  • Quality of periconceptional dietary intake and maternal and neonatal outcomes.

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    pub_type: 杂志文章,多中心研究

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