| Fetal electrocardiogram ST-segment analysis and prediction of neonatal acidosis. | |
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MedLine Citation:
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PMID: 17368461 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the diagnostic value of fetal ST-segment analysis (STAN) in predicting neonatal acidosis. METHODS: The STAN S21 was used to monitor singleton fetuses in labor with abnormal FHR. Physicians later reviewed tracings to identify any ST events dictating intervention. Outcome measures were umbilical artery pH< or =7.15 and pH< or =7.05 at birth. The sensitivity, specificity, PPV, and NPV of a significant ST event to predict both outcomes were calculated. RESULTS: Analysis included 411 women. Sensitivity of a significant ST event for screening pH< or =7.15 (21.9%) was 38% (41/108), specificity 83% (252/303), PPV 45% (41/92) and NPV 79% (252/319), and for pH< or =7.05, it was (3.4%), 62.5% (10/16), 79% (313/395), 11% (10/92), and 98% (313/319), respectively. CONCLUSION: In a population with abnormal FHR in labor, STAN sensitivity is moderate (almost 40%) for predicting pH< or =7.15 and better (almost 60%) for more severe acidosis (pH< or =7.05). |
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Authors:
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C Vayssiere; R Haberstich; V Sebahoun; E David; E Roth; B Langer |
Publication Detail:
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Type: Evaluation Studies; Journal Article; Multicenter Study Date: 2007-03-26 |
Journal Detail:
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Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: 97 ISSN: 0020-7292 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-04-23 Completed Date: 2007-08-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: Ireland |
Other Details:
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Languages: eng Pagination: 110-4 Citation Subset: IM |
Affiliation:
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Département de Gynécologie-Obstétrique, CHU de Hautepierre, Strasbourg cedex, France. cvayssiere@club-internet.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acidosis
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diagnosis* Biological Markers Electrocardiography* False Negative Reactions False Positive Reactions Female Fetal Blood / physiology* Fetal Distress / diagnosis*, physiopathology Fetal Monitoring / methods* Fetus / physiology* Humans Infant, Newborn Predictive Value of Tests Pregnancy |
| Chemical | |
Reg. No./Substance:
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0/Biological Markers |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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