Document Detail


Admission test: a predictive test for fetal distress in high risk labour.
MedLine Citation:
PMID:  9798354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To study predictive utility of admission test (AT) for perinatal outcome in high risk labours. METHOD: A hundred patients at risk of fetal jeopardy due to uteroplacental insufficiency were screened by admission test. The traces were classified as per the criteria suggested by Ingemarsson and Arulkumaran (1986). The perinatal outcome was correlated with the initial FHR pattern and Chi square test was applied to the results. RESULTS: Fifty-eight patients had reactive, 35 had equivocal and 7 had ominous tracing. The incidence of operative delivery for fetal distress showed a progressive rise from reactive (5.17%) to ominous (28.5%) pattern group. The perinatal morbidity also showed a rise from 6.89% in the reactive to 31.42% in the equivocal (p < 0.01) and 85.71% in the ominous group (p < 0.02). The reactive pattern was assuring of the fetal well being for next 5 hours. Presence of late decelerations and decelerations of 60 beats or more below the baseline were additional ominous characteristics, associated with a significant increase in perinatal morbidity. CONCLUSION: Reactive AT appears to be predictive of fetal well being in high risk labours also. Repeat tracing 4 to 5 hours apart may improve the predictive accuracy. Equivocal and ominous patterns require vigilant monitoring.
Authors:
A A Kulkarni; A N Shrotri
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  24     ISSN:  1341-8076     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-11-19     Completed Date:  1998-11-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  255-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Sasson General Hospital, Pune, India.
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Electronics, Medical / methods
Female
Fetal Distress / diagnosis*,  physiopathology
Fetal Monitoring / methods*
Forecasting
Heart Rate, Fetal / physiology*
Humans
Patient Admission
Pregnancy
Pregnancy Outcome*
Pregnancy, High-Risk / physiology*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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