Document Detail


Nonstress test prediction of fetal status.
MedLine Citation:
PMID:  7097665     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eighty-six patients were selected from the high-risk group delivered at Lincoln Hospital in New York City, constituting 22% of the total of 3,500 patients delivered. All of them underwent a nonstress test (NST) and oxytocin challenge test (OCT) antepartally and were also monitored during labor. Sixty-six of them had reactive nonstress patterns, all associated with a negative OCT. Three of them who had reduced variability developed late decelerations in labor; only one had a low Apgar score. Nineteen patients had absence of unequivocal accelerations, five associated with a negative OCT. Of these, only one developed late decelerations in labor. Of 14 others with nonreactive or combined positive OCT patterns, 9 developed late decelerations in labor. Two of them who also had reduced variability developed severe late decelerations in early labor, were delivered by cesarean section and had severe perinatal asphyxia. One case of baseline bradycardia was observed, and the patient did well. When reactive, NST appears to be as reliable as a negative OCT as an indicator of antepartum fetal well-being. Labor may be a life-threatening stress for fetuses displaying nonreactive positive OCT patterns with diminished variability.
Authors:
J Gandhi; C L Gugliucci
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  27     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1982 Feb 
Date Detail:
Created Date:  1982-09-10     Completed Date:  1982-09-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  80-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Female
Fetal Heart / physiology*
Fetal Monitoring / methods*
Heart Rate* / drug effects
Humans
Infant, Newborn
Labor, Obstetric
Movement
Oxytocin / diagnostic use
Pregnancy
Pregnancy Complications
Chemical
Reg. No./Substance:
50-56-6/Oxytocin

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


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