Premium
Oxytocin‐stressed and unstressed cardiotocograms for the prediction of fetal compromise
Author(s) -
HOMBURG R.,
BENDAVID M.,
ZAKU H.
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.tb03651.x
Subject(s) - fetal distress , oxytocin , medicine , fetus , obstetrics , apgar score , predictive value , high risk pregnancy , significant difference , pregnancy , biology , genetics
Summary. The results of unstressed and oxytocin‐stressed cardiotocograms recorded in 222 high‐risk pregnancies within 48 h of delivery were compared with signs of fetal distress in labour and Apgar scores. Thirtynine (18%) developed a late deceleration pattern in labour and 18 newborn (8%) had Apgar scores of <7 at 1 min. A direct comparison of the predictive value of unstressed and stressed cardiotocograms, using Fisher's exact test, showed a very significant difference in favour of the stressed cardiotocogram for the prediction of both fetal compromise and fetal well‐ being. The exclusion, or very selective use, of the oxytocin‐stressed cardiotocogram and reliance on the unstressed cardiotocogram for the anlepartum investigation of high‐risk pregnancies sacrifices accuracy for convenience.