Document Detail


Antepartum surveillance for a history of stillbirth: when to begin?
MedLine Citation:
PMID:  7856674     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: A history of stillbirth is universally accepted as an indication for antepartum fetal heart rate testing. Our goal was to examine when fetal testing should begin in an otherwise healthy patient with a history of stillbirth. STUDY DESIGN: This is a nonconcurrent cohort study of patients who were seen for antepartum surveillance from January 1979 to December 1991 with a history of stillbirth as the only indication for testing. Subsequent pregnancies were evaluated for adverse outcomes and abnormal antepartum test results. RESULTS: There was one case of recurrent stillbirth among the 300 study patients. Nineteen patients (6.4%) had one or more positive antepartum surveillance tests (positive contraction stress test or biophysical profile < or = 4). Three patients (1%) had positive tests before 32 weeks, all of whom were subsequently delivered without incident at term. Three patients were delivered for positive tests at < 36 weeks, one by cesarean section for fetal distress. We could not detect a relationship between the gestational age of the previous stillborn and the incidence of abnormal tests or fetal distress in subsequent pregnancies. CONCLUSION: Antepartum surveillance should begin at > or = 32 weeks in the healthy pregnant woman with a history of stillbirth.
Authors:
J W Weeks; T Asrat; M A Morgan; M Nageotte; S J Thomas; R K Freeman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  172     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-03-15     Completed Date:  1995-03-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  486-92     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Louisville, Kentucky.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Cardiotocography*
Cohort Studies
Female
Fetal Death / diagnosis,  prevention & control*
Fetal Distress / diagnosis*
Gestational Age
Humans
Placental Insufficiency / diagnosis
Pregnancy
Pregnancy Outcome
Pregnancy Trimester, Third
Prenatal Care*
Recurrence
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 1995 Nov;173(5):1636-7   [PMID:  7503220 ]

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


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