Evaluation of non-reassuring fetal heart rate patterns with fetal pulse oximetry combined with vibratory acoustic stimulation
| Autor: | Georgios Creatsas, Dimitrios Kassanos, I. Salloum, Nikolaos Vitoratos, L. Batalias, C. Loghis, Emmanuel Salamalekis |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Cardiotocography Fetal Pulse Oximetry Stimulation Vibration Umbilical Arteries Fetus Pregnancy Humans Medicine Oximetry Prospective Studies Pulse Prospective cohort study Labor Obstetric business.industry Obstetrics and Gynecology Heart Rate Fetal Hydrogen-Ion Concentration Fetal heart rate Acoustic Stimulation Anesthesia embryonic structures Pediatrics Perinatology and Child Health Female business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 13:110-114 |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.1080/jmf.13.2.110.114 |
| Popis: | To determine the value of fetal pulse oximetry and vibratory acoustic stimulation in the presence of non-reassuring fetal heart rate patterns during labor.Prospective study in women monitored by cardiotocography and fetal pulse oximetry during labor.During a period of 18 months, 907 consecutive parturients in labor were monitored by cardiotocography. Out of these women, 63 were selected on the basis of a non-reassuring fetal heart rate tracing during the first stage of labor. In these cases, fetal pulse oximetry was applied. Vibratory acoustic stimulation was applied in fetuses without spontaneous reactivity in order to evaluate the fetal status.Our cases were classified into three groups, according to the lower fetal oxygen saturation levels, from the time of oximetry application until delivery. Group A consisted of 29 cases where fetal oxygen saturation levels wereor = 41%, group B (20 cases) with fetal oxygen saturation of 31-40% and group C (14 cases) with levels of30%. Spontaneous reactivity was observed in 15 fetuses of group A and seven of group B, while no case of reactivity was noted in group C. Vibratory acoustic-induced reactivity was associated with low fetal oxygen saturation levels. The mean umbilical artery pH levels were 7.29 +/- 0.051 in group A, 7.21 +/- 0.057 in group B and 7.04 +/- 0.05 in group C.Fetal pulse oximetry should be indicated not only in fetuses without any reactivity but also in those with induced reactivity, after the application of vibratory acoustic stimulation. |
| Databáze: | OpenAIRE |
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