Document Detail

Foetal heart rate patterns in early labour in low and high risk pregnancies and its correlation with perinatal outcome.
MedLine Citation:
PMID:  12797635     Owner:  NLM     Status:  MEDLINE    
The present prospective study included 173 randomly selected primigravidae at admission in early labour. Of these, 88 cases were of low risk and 85 cases were of high risk, on the basis of antenatal risk factors. All the cases were subjected to a twenty minutes recording of the foetal heart rate patterns and uterine contractions in early labour. It was interesting to note that, 13% of so called low risk pregnancies showed abnormal foetal heart pattern and thus became high risk in labour. No statistically significant difference was seen in the baseline heart rate and variability patterns in low and high risk pregnancies. However, all types of decelerations were more frequent in the high risk pregnancies. It was observed that as compared to baseline heart rate and variability, decelerations were better predictors of a poor perinatal outcome especially late decelerations and variable decelerations with ominous features, the mean Apgar scores at one minute of the two being 5.6 and 6.8 respectively.
Neeru Malik; Chitra Raghunandan; Neelu Madan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Indian Medical Association     Volume:  100     ISSN:  0019-5847     ISO Abbreviation:  J Indian Med Assoc     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2003-06-11     Completed Date:  2003-07-03     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7505608     Medline TA:  J Indian Med Assoc     Country:  India    
Other Details:
Languages:  eng     Pagination:  646, 648, 650-1     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Lady Hardinge Medical College and Smt Sucheta Kriplani Hospital, New Delhi 110001.
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MeSH Terms
Apgar Score
Fetal Monitoring*
Heart Rate, Fetal*
Infant, Newborn
Obstetric Labor Complications / prevention & control*
Predictive Value of Tests
Pregnancy Outcome
Pregnancy, High-Risk

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