[The glucose perfusion test: value in detecting fetal distress].
The authors use an intravenous dose of 0.5 g glucose/kg. body weight as a fetal stimulation test in one hundred pregnant patients after the 34th week. Glucose produced a remarkable increase of fetal heart rate variability, as well as an increase in the number of fetal movements and accelerations. Those fetuses lacking reactivity before and after the glucose test presented, in 55.5% of the cases, neonatal depression. This suggests that glucose perinatal surveillance is of utmost importance in these cases. The glucose overload test presents a clear advantage with respect to the oxytocin test, which is the total absence of labor stimulation and this may not be desirable in cases of prematurity or previous uterine scars.
Département de Gynécologie et Obstétrique, Faculté de Médecine, Université d'Oviedo, Espagne.
J
J
Ferrer-Barriendos
P
P
Llaneza
E
E
Hurtado
C
C
Perez-Rodrigo
V
V
Orille
D005260:Female; D005316:Fetal Distress / Q000175:diagnosis* / Q000503:physiopathology; D005318:Fetal Heart / Q000187:drug effects*; D005324:Fetal Movement / Q000187:drug effects*; D005947:Glucose / Q000008:administration & dosage / Q000494:pharmacology; D006801:Humans; D007262:Infusions, Intravenous; D011247:Pregnancy
D005947:Glucose
L'épreuve de perfusion de glucose: valeur dans le dépistage de la souffrance foetale.