[Excrement of the meconium and the intra-partum cardiotocogram].
Of 2233 parturients, 170 cases with evidence of meconium during delivery were examined. We tried to establish the correlation between the appearance of meconium and the occurance of contraction induced FHR-decelerations in continuous intra partum monitoring. In addition we purposed to determine, whether the appearing of meconium during labor can be used as a clinical prognosite sign for fetal outcome. Our data support the assumption that the passage of meconium during any stage of labor only represents a sign of potential fetal distress showing the intra partum records pathology FHF-patterns. The appearance of meconium alone -- diagnosed at the time of the entrance of parturients or in an advanced stage of labor -- demands supplemented diagnostic methods for a better interpreting of an actual or compensated fetal distress.
D001034:Apgar Score; D004562:Electrocardiography; D005260:Female; D005318:Fetal Heart / Q000502:physiology*; D006331:Heart Diseases / Q000503:physiopathology; D006339:Heart Rate; D006801:Humans; D007231:Infant, Newborn; D007743:Labor, Obstetric; D008470:Meconium / Q000502:physiology*; D008991:Monitoring, Physiologic; D011247:Pregnancy; D014590:Uterine Contraction
Mekoniumabgang und intrapartales Kardiotokogramm