Document Detail

Limitations in the clinical prediction of intrapartum fetal asphyxia.
MedLine Citation:
PMID:  7892867     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Our purpose was to demonstrate the predictive value of clinical risk scoring and fetal assessment for intrapartum fetal asphyxia. STUDY DESIGN: Intrapartum fetal asphyxia was defined by an umbilical artery buffer base < 34 mmol/L. The predictive value of 20 antepartum and intrapartum risk factors was examined in 1909 consecutive pregnancies. The predictive value of clinical risk factors with periodic fetal assessment was examined in a second population of 100 consecutive pregnancies with biochemically determined intrapartum fetal asphyxia. RESULTS: The incidence of intrapartum was 2.3%. Two problems were apparent in these studies. A significant proportion of intrapartum fetal asphyxia occurred in pregnancies with no risk factors. The positive predictive value of clinical risk factors was low, 3%, resulting in a large number of false positives requiring clarification. CONCLUSION: Screening and fetal assessment methods must be improved to ensure the early recognition of intrapartum fetal asphyxia that may require intervention during labor to avoid morbidity and mortality.
J A Low; L L Simpson; G Tonni; S Chamberlain
Related Documents :
11092427 - Trans-abdominal monitoring of fetal arterial blood oxygenation using pulse oximetry.
10655817 - Are women carrying "basketballs" really having boys? testing pregnancy folklore.
904817 - Fetal monitoring: psychologic consequences and management recommendations.
21755687 - Controlling the dominant follicle in beef cattle to improve estrous synchronization and...
17024597 - Inherited thrombophilia and venous thromboembolism.
582487 - Fertility of norgestomet treated suckler cows.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  172     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1995 Mar 
Date Detail:
Created Date:  1995-04-14     Completed Date:  1995-04-14     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  801-4     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Queen's University, Kingston, Ontario, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Delivery, Obstetric
Fetal Blood / chemistry
Fetal Hypoxia / diagnosis*,  epidemiology
Hydrogen-Ion Concentration
Labor, Obstetric
Obstetric Labor Complications
Obstetric Labor, Premature
Predictive Value of Tests
Retrospective Studies
Risk Factors

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

Previous Document:  Antenatal steroids, delivery mode, and intraventricular hemorrhage in preterm infants.
Next Document:  Newborn complications after intrapartum asphyxia with metabolic acidosis in the preterm fetus.