Document Detail

Intrapartum fetal acidosis in preterm infants: fetal monitoring and long-term morbidity.
MedLine Citation:
PMID:  6700858     Owner:  NLM     Status:  MEDLINE    
Fetal heart rate (FHR) and fetal acid-base status were studied prospectively in 61 patients in preterm labor of unknown etiology. Neonatal data were analyzed, and all surviving infants participated in a follow-up study for at least two years. Ominous FHR patterns correlated well with fetal acidosis. Infants with fetal acidosis (pH less than 7.25 in scalp blood) had more neurologic abnormalities in the neonatal period and a higher rate of neurodevelopmental disabilities at the follow-up than nonacidotic infants of the same gestational weeks. In the surveillance of patients in preterm labor electronic fetal monitoring is mandatory. At late or pronounced variable decelerations, pH analysis of fetal scalp blood should be performed immediately. If not available, prompt abdominal delivery is recommended.
M Westgren; P Hormquist; I Ingemarsson; N Svenningsen
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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 Mar 
Date Detail:
Created Date:  1984-03-30     Completed Date:  1984-03-30     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  355-9     Citation Subset:  AIM; IM    
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MeSH Terms
Acidosis / complications,  congenital*,  diagnosis
Asphyxia Neonatorum / etiology
Fetal Heart / physiopathology
Fetal Monitoring*
Follow-Up Studies
Heart Rate
Infant, Newborn
Infant, Premature, Diseases / physiopathology*
Prospective Studies

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

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