Document Detail

Predictive value of antepartum non-stress test in multiple pregnancies.
MedLine Citation:
PMID:  6516808     Owner:  NLM     Status:  MEDLINE    
Twenty-seven sets of twins in the last trimester of pregnancy underwent 122 antepartum non-stress tests (NST). The NSTs were evaluated by a cardiotocography score. The last test was performed less than one week antepartum. Fifty fetuses had a normal NST, 13 were small-for-gestational age, but only one of these required intensive neonatal care. Four fetuses had one or more pathological NSTs; all 4 were SGA, and these required intensive neonatal care. The pathological variables in the cardiotocograms were reduced variability, absence of spontaneous accelerations, and (late) decelerations. There was no perinatal mortality. Pathological NST was associated with a statistically significantly increased rate of neonatal morbidity, reduced intra-uterine growth and a low one minute Apgar score. For the evaluation of retarded intra-uterine growth, the predictive value of a normal NST was 95.7%, and the predictive value of a pathological NST was 75.0%. The assessment of fetal wellbeing in multiple pregnancy by non-stressed antepartum cardiotocography is of clinical value and seems to be a better predictor of perinatal morbidity than are serial estriol analyses and serial biparietal diameter measurements.
C Lenstrup
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  63     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  1984  
Date Detail:
Created Date:  1985-02-14     Completed Date:  1985-02-14     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  597-601     Citation Subset:  IM    
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MeSH Terms
Fetal Death
Fetal Heart / physiology*
Fetal Monitoring / methods*
Heart Rate
Infant Mortality
Infant, Newborn
Infant, Small for Gestational Age
Pregnancy Complications
Pregnancy, Multiple*
Stress, Physiological

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

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