| Search for the most predictive tests of fetal well-being in early labor. | |
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MedLine Citation:
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PMID: 8827567 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of the study was to evaluate the admission CTG alone and in combination with the following tests: fetal acoustic stimulation test (FAST), maternal perception of sound provoked fetal movement (mpSPFM), amniotic fluid index (AFI), and umbilical artery doppler studies in early labor. 1092 singleton pregnancies in cephalic presentation, and with intact amniotic membranes at 37 weeks gestation or more, were admitted in early labor to the labor ward at the National University Hospital, Singapore. Admission tests were performed, and labor managed according to established labor ward protocol. Of all the tests performed, only the results of the admission CTG and color of the amniotic fluid were known to the obstetrician. If the admission CTG is normal, AFI is > 5 cm and there is an acceleratory responses to FAST the incidence of fetal distress is low. In the presence of a reactive admission CTG and in the absence of thick meconium, fetal heart rate response to FAST and the AFI provided a better selection of the high risk fetus that would require closer monitoring or early delivery. When the admission CTG was suspicious, FAST, AFI, and blood flow velocity waveform studies may allow more confident prediction of the ability of the fetus to withstand the stresses of labor. |
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Authors:
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S Chua; S Arulkumaran; A Kurup; C Anandakumar; N Selemat; S S Ratnam |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of perinatal medicine Volume: 24 ISSN: 0300-5577 ISO Abbreviation: J Perinat Med Publication Date: 1996 |
Date Detail:
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Created Date: 1996-12-19 Completed Date: 1996-12-19 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0361031 Medline TA: J Perinat Med Country: GERMANY |
Other Details:
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Languages: eng Pagination: 199-206 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, National University Hospital, Singapore, Rep. of Singapore. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acoustic Stimulation Amniotic Fluid Apgar Score Asphyxia Neonatorum / diagnosis Blood Flow Velocity Cardiotocography* Delivery, Obstetric / methods, statistics & numerical data Female Fetal Distress / diagnosis*, epidemiology Fetal Hypoxia / diagnosis Fetal Movement Fetus* Heart Rate, Fetal Humans Incidence Infant, Newborn Pregnancy Pregnancy Outcome Pregnancy Trimester, Third Prospective Studies Ultrasonography, Doppler Umbilical Arteries / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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