[Prognostic significance of heart rate accelerations of the fetus in the first stage of labor].
The clinical data and the cardiotocograms of 232 low-risk-deliveries and that of 344 cases of high risk deliveries (98 premature deliveries, 102 cases with meconium stained amniotic fluid, 86 cases with EPH gestosis and 58 cases of fetal distress necessitating emergency cesarean section) have been studied. It is concluded that the fetal heart rate accelerations even in cases of high risk pregnancies and deliveries indicate a good fetal state and a good neonatal outcome. In the presence of both of decelerations and accelerations the fetal state is still good. In the presence of accelerations the low- and high risk deliveries (except the premature deliveries) have a similarly good prognosis. In the lack of accelerations the neonatal mortality, the frequency of resuscitations is higher, and the low Apgar-scores are commoner.
D001238:Asphyxia Neonatorum / Q000175:diagnosis; D002585:Cesarean Section; D005260:Female; D005316:Fetal Distress / Q000175:diagnosis*; D005323:Fetal Monitoring; D006340:Heart Rate, Fetal; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007231:Infant, Newborn; D007747:Labor Stage, First; D007743:Labor, Obstetric; D008431:Maternal-Fetal Exchange; D007752:Obstetric Labor, Premature / Q000175:diagnosis; D011225:Pre-Eclampsia / Q000175:diagnosis; D011247:Pregnancy; D011379:Prognosis; D012306:Risk
Die prognostische Bedeutung der Herzfrequenz-Akzelerationen des Fetus in der Eröffnungsperiode.