Prediction of fetal distress and poor outcome in intrauterine growth retardation--a comparison of fetal heart rate monitoring combined with stress tests and Doppler ultrasound.
One hundred and three intrauterine growth retardation (IUGR) pregnancies were scheduled for pulsed Doppler ultrasound of the common carotid and the umbilical artery, nonstress and contraction stress tests (NST/CST) as well as vibroacoustic stimulation tests (VAST). The last examinations < 3 days before birth were compared by receiver-operator characteristics: Results of the resistance indices of fetal common carotid/umbilical artery and NST were more predictive of later fetal distress during labour, compared to CST and VAST (p < 0.001/< 0.01). Similar results were found for the prediction of low pH and Apgar values, though differences were less pronounced. Our results suggest that stressful examinations should be abolished from mother and fetus in the supervision of IUGR.
Arabin
B
B
Department of Obstetrics and Gynecology, Klinikum Steglitz, Free University of Berlin, FRG.
Becker
R
R
Mohnhaupt
A
A
Entezami
M
M
Weitzel
H K
HK
D005260:Female; D005316:Fetal Distress / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005317:Fetal Growth Retardation / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006340:Heart Rate, Fetal; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome; D013312:Stress, Physiological / Q000503:physiopathology*; D016216:Ultrasonography, Prenatal; D014590:Uterine Contraction