Document Detail

Fetal acidosis and the abnormal fetal heart rate tracing: the term breech fetus.
MedLine Citation:
PMID:  6694819     Owner:  NLM     Status:  MEDLINE    
The intrapartum fetal heart rate tracings of 27 terms fetuses in breech presentation were analyzed to evaluate their immediate neonatal outcome. The tracings were quantitatively evaluated for comparison with Apgar scores and umbilical cord gases at delivery. Of the 27 cases, 12 had monitoring strips that scored 4 or less before birth. The P50 for acidosis at delivery (an umbilical artery pH of 7.25 or less) was 55 minutes for an intrapartum tracing that scored 4 or less. Fetuses with intrapartum tracings scoring 8 or more throughout labor had normal Apgar scores and cord gases. In comparing the present data with those of a previous study of vertex presentations, the authors found that given similar tracings, the breech fetus deteriorates more rapidly than the vertex fetus. Cesarean section is recommended if delivery is not imminent in a laboring breech and the intrapartum tracing deteriorates to score 4 or less.
B Eilen; A Fleischer; H Schulman; N Jagani
Related Documents :
15614849 - Routine fetal cardiac screening: what are we doing and what should we do?
326049 - A comparison of methods for quantitating fetal heart rate variability.
8275879 - Heart rate variation during fetal behavioural states 1 and 2.
8883749 - The effect of epidural bupivacaine on the fetal electrocardiogram.
9306069 - Some effects of multiple administration of detomidine during the last trimester of equi...
15994999 - Outcome of first-trimester pregnancies with slow embryonic heart rate at 6-7 weeks gest...
24625189 - Born too soon: care before and between pregnancy to prevent preterm births: from eviden...
424799 - Detection of fetal anencephaly using real-time ultrasound.
7152619 - Is aryl hydrocarbon hydroxylase induction 'systemically' regulated in man?
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  63     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1984 Feb 
Date Detail:
Created Date:  1984-03-20     Completed Date:  1984-03-20     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  233-6     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Acidosis / diagnosis*
Apgar Score
Breech Presentation*
Fetal Diseases / physiopathology*
Fetal Heart / physiopathology*
Fetal Monitoring*
Heart Function Tests
Heart Rate*
Infant, Newborn
Labor Presentation*
Umbilical Arteries

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

Previous Document:  Estimation of blood loss in second-trimester dilatation and extraction.
Next Document:  X-chromosome hyperploidy in couples with multiple spontaneous abortions.