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Fetal distress during labour in diabetic pregnancy
Author(s) -
OLOFSSON PER,
INGEMARSSON INGEMAR,
SOLUM THORE
Publication year - 1986
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.1471-0528.1986.tb07832.x
Subject(s) - distress , fetal distress , pregnancy , fetus , obstetrics , medicine , biology , clinical psychology , genetics
Summary. The frequency of fetal distress in labour was studied in 46 diabetic women and in 46 non‐diabetic matched controls. Fetal distress was assessed by electronic fetal heart rate (FHR) monitoring and fetal scalp blood pH determinations in late first stage of labour. Ominous FHR and/or low pH (<7·26) was more common in the diabetic group than in the control group (17·4% and 10·9%, respectively) but the difference was not statistically significant. The frequency of caesarean section and low Apgar score at 1 min was significantly higher in the diabetic group ( P <0·05). There was no correlation between maternal blood glucose regulation and the occurrence of fetal distress in the diabetic group. The results suggest that fetal distress may be slightly more common in labour in diabetic women compared with controls managed in a similar way. Careful FHR monitoring and liberal use of fetal scalp blood pH determinations is recommended.