Effects of intracervical prostaglandin E2 on fetal heart rate and uterine activity patterns in the presence of oligohydramnios
| Autor: | Turnbull Gl, H.Dix Christensen, John R. Stanley, William F. Rayburn, Janet D. Larson, William J. Schwartz |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Bishop score Oligohydramnios Cervix Uteri Dinoprostone Uterine Contraction Pregnancy medicine Humans Amniotic fluid index Labor Induced Prostaglandin E2 Retrospective Studies Fetus Analysis of Variance Chi-Square Distribution business.industry Obstetrics Obstetrics and Gynecology Gestational age Heart Rate Fetal medicine.disease Case-Control Studies Female business medicine.drug Prostaglandin E |
| Zdroj: | American journal of obstetrics and gynecology. 173(4) |
| ISSN: | 0002-9378 |
| Popis: | Our purpose was to compare fetal heart rate patterns and uterine activity before and after preinduction prostaglandin E2 administration in the presence or absence of oligohydramnios.In a retrospective case-controlled review we examined cases in which prostaglandin E2 (Prepidil) was inserted intracervically for gravid women requiring an induction of labor in the presence of either oligohydramnios (amniotic fluid indexor = 5.0) or adequate fluid (amniotic fluid index 5.1 to 23.9). Uterine activity and fetal heart rate tracings that were begun 1 hour before and continued for 6 hours after dosing were interpreted without knowledge of amniotic fluid volume.Cases in the oligohydramnios (n = 51) and adequate fluid (n = 49) groups were the same for maternal age, race, parity, gestational age, and predose Bishop score. Patients with oligohydramnios had more high-amplitude contractions in the first hour after dosing (9.0 +/- 1.2 vs 6.1 +/- 0.9, p0.05), but there were no significant differences in the frequency or duration of contractions during the subsequent 5 hours. Uterine hyperstimulation was not seen, and there were no differences in the frequency of variable or late fetal heart rate decelerations.For pregnancies undergoing preinduction cervical ripening with intracervical prostaglandin E2, the presence of oligohydramnios was not associated with a greater risk of fetal heart rate decelerations, although contractions were more common during the first hour after dosing. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect