Document Detail


Fetal acidosis and the abnormal fetal heart rate tracing: the term breech fetus.
MedLine Citation:
PMID:  6694819     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
B Eilen; A Fleischer; H Schulman; N Jagani
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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    
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MeSH Terms
Descriptor/Qualifier:
Acidosis / diagnosis*
Adult
Apgar Score
Breech Presentation*
Female
Fetal Diseases / physiopathology*
Fetal Heart / physiopathology*
Fetal Monitoring*
Heart Function Tests
Heart Rate*
Humans
Infant, Newborn
Labor Presentation*
Pregnancy
Umbilical Arteries

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


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