Document Detail


Blind oxytocin challenge test and perinatal outcome.
MedLine Citation:
PMID:  7424995     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A total of 435 oxytocin challenge tests (OCT) were performed on 217 high-risk pregnant patients, and the test results were blinded. The results were correlated with late decelerations of the fetal heart rate during labor, Apgar scores at 5 minutes, a neonatal morbidity score, and perinatal mortality. The incidence of late decelerations during labor was 17% in the negative group, 24% in the suspicious group, and 33% in the positive group. The correlation of OCT results and the various measures of fetal outcome indicated that an individual fetus at risk cannot be identified with a high degree of accuracy since 67% of the tests were false positive and 17% were false negative. Even when the OCT was positive, 61% of infants did not have late decelerations in labor, low Apgar scores, or significant neonatal morbidity. When elective delivery has been decided upon after consideration of all clinical information, induction of labor rather than primary cesarean section is usually indicated. In this study 78% of patients were delivered vaginally with no significant increase of cesarean sections in the positive and suspicious groups as compared with the negative group.
Authors:
K J Staisch; J R Westlake; R A Bashore
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  138     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1980 Oct 
Date Detail:
Created Date:  1980-12-16     Completed Date:  1980-12-16     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  399-403     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
False Negative Reactions
False Positive Reactions
Female
Fetal Distress / diagnosis*
Fetal Heart
Heart Rate
Humans
Infant, Newborn
Infant, Newborn, Diseases / diagnosis
Oxytocin / diagnostic use*
Pregnancy
Prognosis
Risk
Grant Support
ID/Acronym/Agency:
HD 05615/HD/NICHD NIH HHS; RR-3/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
50-56-6/Oxytocin

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


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