Maternal glucose administration for facilitating tests of fetal wellbeing.
BACKGROUND
Antenatal maternal glucose administration has been suggested to improve the efficiency of antepartum fetal heart rate testing.


OBJECTIVE
The objective of this review was to assess the merits or adverse effects of antenatal maternal glucose administration in conjunction with tests of fetal wellbeing.


METHODS
We searched the Cochrane Pregnancy and Childbirth Group trials register in June 2001.


METHODS
All published and unpublished randomized controlled trials assessing the merits of antenatal maternal (oral or intravenous) glucose administration in conjunction with tests of fetal wellbeing.


METHODS
Both reviewers independently extracted data and assessed trial quality. Authors of published and unpublished trials were contacted for further information.


RESULTS
A total of two trials with a total of 708 participants were included. Antenatal maternal glucose administration did not decrease the incidence of non-reactive antenatal cardiotocography tests.


CONCLUSIONS
Antenatal maternal glucose administration has not been shown to reduce non-reactive cardiotocography. More trials are needed to further substantiate this and to determine not only the optimum dose, but also to evaluate the efficacy, predictive reliability, safety and perinatal outcome of glucose administration in conjunction with cardiotocography and also other tests of fetal wellbeing.
Tan
K H
KH
Department of Maternal Fetal Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, Singapore, 229899. ktan@pacific.net.sg
Sabapathy
A
A
D000284:Administration, Oral; D015148:Cardiotocography; D005260:Female; D005947:Glucose / Q000008:administration & dosage*; D006801:Humans; D007275:Injections, Intravenous; D011247:Pregnancy; D016032:Randomized Controlled Trials as Topic
D005947:Glucose