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Continuous Fetal Heart Rate Monitoring and Tocodynamometry in Routine Obstetrical Care, Fetal Stress and Non‐Stress Testing, and Labor Induction in the Chimpanzee (Pan troglodytes)
Author(s) -
Mahoney C. James,
Gordon Michael,
Briggs David
Publication year - 1990
Publication title -
journal of medical primatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.31
H-Index - 42
eISSN - 1600-0684
pISSN - 0047-2565
DOI - 10.1111/j.1600-0684.1990.tb00475.x
Subject(s) - oxytocin , medicine , caesarean section , obstetrics , fetal monitoring , fetus , fetal distress , in utero , heart rate , fetal heart rate , pregnancy , blood pressure , biology , genetics
The use of continuous fetal heart rate (FHR) and uterine pressure monitoring in the chimpanzee (Pan troglodytes) by external Doppler transducer and tocodynamometer is described in 1) the routine obstetrical assessment of fetal well‐being, 2) oxytocin challenge (stress) testing (OCT) and non‐stress testing (NST) for the diagnosis of in utero fetal distress, and 3) induction of labor by intravenous oxytocin infusion, by surgical rupture of the chorio‐amniotic membranes (amniotomy), or by a combination of these techniques, as an alternative to Caesarean section for clinical, managemental, or experimental purposes. FHR traces were analyzed during a total of 57 term pregnancies for three basic characteristics: baseline rate, variability, and periodic pattern. Results indicated that continuous FHR monitoring in the chimpanzee can provide a valuable tool for fetal assessment and management of labor in any attempt to reduce the unacceptably high annual incidence of perinatal and neonatal infant mortality reported in the U.S.