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Is end‐stage deceleration of the fetal heart ominous?
Author(s) -
KATZ MIRIAM,
SHANI NAFTALI,
MEIZNER ISRAEL,
INSLER VACLAV
Publication year - 1982
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1982.tb03610.x
Subject(s) - umbilical vein , fetus , medicine , apgar score , bradycardia , fetal distress , anesthesia , vein , stage (stratigraphy) , scalp , umbilical cord , fetal heart rate , cardiology , heart rate , surgery , pregnancy , anatomy , chemistry , blood pressure , biology , paleontology , biochemistry , in vitro , genetics
Summary. End‐stage deceleration (ESD) defined as deep and sustained fetal bradycardia during the second stage of labour was observed in 55 patients. Fetal well‐being and neonatal outcome were assessed with fetal‐scalp pH, umbilical‐vein pH and l‐min Apgar score values. Only six infants with pathological fetal heart‐rate patterns before ESD had a l‐min Apgar score of <7 and an acidotic umbilical‐vein pH. The remaining 49 babies were born in excellent condition, although when ESD persisted for more than 15 min umbilical‐vein pH decreased.