Document Detail


Skin conductance activity in post-term pregnancies.
MedLine Citation:
PMID:  25283848     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective: The pain threshold in humans rises during late pregnancy, and the woman becomes less sensitive to stress. The aim of this study was to investigate whether monitoring the sympathetic nervous system response to stimuli by skin conductance activity might be a useful predictor of spontaneous onset of labor in post-term pregnancies. Study design: a prospective observational study. Fifty-two healthy, pregnant women were consecutively asked for inclusion in the study at their post-term pregnancy examination. Initally a Ctg (Cardiotoccography) registration was performed, followed by five minutes of skin conductance measurement including a `cold pressor test´. Finally, a vaginal examination with a cervical assessment were performed according to clinical guidelines. Results: A statistically significant lower pain reaction during the period of provocation was seen in deliveries close to spontaneous onset of labor compared to induced deliveries with an non-spontaneous onset of labor before 294 days (p = 0.02). 63 % (19/30) of the women with spontaneous onset had a negative value at provocation compared to 30 % (6/20) in the induced group. Conclusion: Decreased response to pain stimuli, as an indication of decreased activity in the sympathetic nervous system, has a correlation to spontaneous onset of labor in post-term pregnancies.
Authors:
Tove Wallstrom; Charlotte Hellgren; Helena Akerud; Eva Wiberg-Itzel
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-10-6
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-10-6     Completed Date:  -     Revised Date:  2014-10-7    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-18     Citation Subset:  -    
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