Document Detail


Auscultation of the fetal heart in early pregnancy.
MedLine Citation:
PMID:  20617441     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: Auscultation of the fetal heart is a common event in antenatal care, in early pregnancy it may be associated with false negative results, which require ultrasound scan to confirm fetal viability.
METHODS: We studied 197 women in early pregnancy to determine the gestational age at which the fetal heart can be reliably identified and the factors which determined the accuracy of the test.
RESULTS: The proportion of successful auscultations increased with advancing gestation (p < 0.001). There was no effect of maternal body mass index or the level of midwifery experience.
CONCLUSION: For a sensitivity of 90%, the fetal heart should be auscultated after 13 week gestation. If a sensitivity of 80% is acceptable the fetal heart can be auscultated after 12 + 1 week gestation.
Authors:
James Rowland; Alexander Heazell; Cathie Melvin; Simon Hill
Publication Detail:
Type:  Journal Article     Date:  2010-07-09
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  283 Suppl 1     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-05-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  9-11     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Haslingden Road, Blackburn, BB2 3HH, UK, james_s_rowland@hotmail.com.
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