Fetal movements following intrapartum maternal opiate administration.
Fetal movements were quantified prior to and after administration of intramuscular Diamorphine in thirteen labouring women. A significant reduction in the number of fetal heart rate accelerations was observed following Diamorphine. Thirty minutes after Diamorphine, all fetal movement parameters had returned to pre-Diamorphine values. If fetal movement detection is to be incorporated into an assessment of intrapartum fetal well being, the transient influence of narcotic analgesia must be allowed for.
Department of Obstetrics and Gynaecology, Ninewells Hospital and Medical School, Dundee, Scotland.
T
T
Farrell
P
P
Owen
A
A
Harrold
D016362:Analgesia, Obstetrical; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000494:pharmacology*; D005260:Female; D005323:Fetal Monitoring; D005324:Fetal Movement / Q000187:drug effects*; D006340:Heart Rate, Fetal / Q000187:drug effects; D003932:Heroin / Q000008:administration & dosage / Q000494:pharmacology*; D006801:Humans; D007743:Labor, Obstetric; D011247:Pregnancy; D013997:Time Factors
D000701:Analgesics, Opioid; D003932:Heroin