| 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 |
Related Documents
:
|
19869074 - Bacteriophage tests on the meconium of aborted fetuses. 16967274 - Vaginal fluid urea and creatinine in diagnosis of premature rupture of membranes. 876544 - Intrauterine fetal demise after negative oxytocin challenge tests. 17823024 - Preoperative testing for sepsis before revision total knee arthroplasty. 17767674 - Hand function and oral hygiene in older institutionalized brazilians. 16938804 - Faecal antigen tests in the confirmation of the effect of helicobacter eradication ther... |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Antenatal diagnosis of urinary tract abnormalities by ultrasonography after 28 weeks' gestation: inc...
Next Document: Expression of inflammatory cytokines (interleukin-1 beta and interleukin-6) in amniochorionic membra...