Deceleration area of fetal heart rate trace and fetal acidemia at delivery: A case-control study
Deceleration area of fetal heart rate trace and fetal acidemia at delivery: A case-control study
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DOI：
10.1080/14767050601134603
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发表时间：
2007-02-01
影响因子：
1.8
通讯作者：
Tranquilli, Andrea Luigi
中科院分区：
文献类型：
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作者：
Giannubilo, Stefano Raffaele;Buscicchio, Giorgia;Tranquilli, Andrea Luigi
Objective.评估低风险人群产前胎心率（FHR）描记的总减速面积与产时胎儿酸碱状态之间的相关性。研究设计.我们分析了26例分娩时出现酸血症的胎儿的电子胎儿监护（EFM）痕迹和30例对照的痕迹。所有临产患者至少进行1小时无中断的EFM。减速面积的计算，数字分析后，与Autocad System 2004。结果我们发现，研究组的减速次数（8.03 +/- 3.77 vs. 4.64 +/- 3.84）和总减速面积/小时（35.56 +/- 11.87 vs. 17.81 +/- 9.38）显著高于对照组。结论.我们的研究结果表明，通过数字化心脏分娩力描记术对减速区的定量分析可能具有预测分娩时胎儿酸血症的鉴别能力。
Objective. To assess the correlation between the total deceleration area of the fetal heart rate (FHR) pre-delivery trace and intrapartum fetal acid-base status in a low risk population. Study design. We analyzed the electronic fetal monitoring (EFM) traces of 26 pregnancies with fetuses presenting acidemia at delivery and those of thirty controls. All laboring patients had at least 1 hour of EFM without interruption. The deceleration area was calculated, after digital analysis, with Autocad System 2004. Results. We found that the number of decelerations (8.03 +/- 3.77 vs. 4.64 +/- 3.84) and the total deceleration area/hour (35.56 +/- 11.87 vs. 17.81 +/- 9.38) were significantly higher in the study group than in the control group. Conclusions. Our results show that quantitative analysis of the deceleration areas by digitized cardiotocography may have a discriminative capacity to predict fetal acidemia at delivery.