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Antepartum fetal evaluation by assessment of fetal heart rate and fetal movements
Author(s) -
Sadovsky Eliahu,
Weinstein Daniel,
Even Yael
Publication year - 1981
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(81)90034-5
Subject(s) - medicine , fetal movement , fetus , pathological , fetal heart rate , in utero , apgar score , biophysical profile , obstetrics , cardiotocography , nonstress test , false positive paradox , incidence (geometry) , pregnancy , heart rate , blood pressure , optics , biology , genetics , physics , machine learning , computer science
Three antenatal monitoring tests — fetal movement acceleration test (FMAC‐test), fetal heart rate‐non‐stress test (FHR‐NST), and daily fetal movement recording (DFMR) were evaluated in 212 high risk pregnant women. While in 196 cases all three tests were normal, in 16 patients one to three tests showed pathological results. In the latter group, there was a significantly higher incidence of perinatal mortality, low Apgar score and growth retardation. Since false positives are known to occur in these tests, at least two should be pathological to warrant delivery in an attempt to prevent fetal death in utero. The sequence in which the pathology appears in the deteriorating fetus is as follows: the first to become non‐reactive is the FMAC‐test, followed by decreased fetal movements till cessation, and, finally, severe changes in the FHR‐NST take place. The importance of this sequence of events is discussed.