PMID: 11339928May 8, 2001Paper

Clinical significance of fetal heart rate tracings during the second stage of labor

Obstetrics and Gynecology
E SheinerI Shoham-Vardi

Abstract

To examine the significance of abnormal fetal heart rate (FHR) patterns during the second stage of labor in terms of pregnancy outcome. A prospective observational study comparing women who had abnormal FHR patterns during the second stage of labor with women who demonstrated normal FHR patterns. Abnormal second-stage FHR patterns were found in 420 tracings (75%), whereas 140 tracings (25%) were normal. In a multivariable analysis, nulliparity (odds ratio [OR] 2.5; 95% confidence interval [CI] 1.5, 4.2), cord problems (OR 1.8; 95% CI 1.03, 3.3), and male sex (OR 1.5; 95% CI 1.01, 2.2) were independent factors affecting the occurrence of abnormal second-stage FHR patterns. Patients with abnormal tracings had significantly higher rates of operative delivery compared with patients with normal tracings. The newborns from the case group had significantly higher percentages of Apgar scores lower than 7 at 1 minute, arterial pH lower than 7.2, and base deficit of 12 mmol/L or higher, and six were admitted to the intensive care unit (ICU). A multiple logistic regression model found second-stage late decelerations, bradycardia less than 70 beats per minute, and the presence of abnormal FHR patterns during the first stage of labor to be ...Continue Reading

References

Jun 1, 1992·American Journal of Obstetrics and Gynecology·R H Ball, J T Parer
Mar 1, 1990·American Journal of Obstetrics and Gynecology·J W JohnsonR A Wagaman
Sep 1, 1989·American Journal of Obstetrics and Gynecology·L C GilstrapB B Little
Oct 1, 1987·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·I BlicksteinM Lancet
Apr 1, 1988·American Journal of Obstetrics and Gynecology·D A Davey, I MacGillivray
Nov 1, 1987·British Journal of Obstetrics and Gynaecology·K R Young
Mar 1, 1982·British Journal of Obstetrics and Gynaecology·M KatzV Insler
May 1, 1996·The Australian & New Zealand Journal of Obstetrics & Gynaecology·T K LauA M Chang
Nov 1, 1996·British Journal of Obstetrics and Gynaecology·I GullJ B Lessing
Apr 1, 1997·European Journal of Obstetrics, Gynecology, and Reproductive Biology·C LoghisP A Zourlas
Mar 3, 1998·European Journal of Obstetrics, Gynecology, and Reproductive Biology·L NordströmS Arulkumaran
Aug 29, 1998·American Journal of Perinatology·C Y SpongA Ghidini

❮ Previous
Next ❯

Citations

Dec 24, 2005·Archives of Gynecology and Obstetrics·Eyal SheinerReli Hershkovitz
Mar 8, 2007·Archives of Gynecology and Obstetrics·Eyal Sheiner
Jul 21, 2011·Archives of Gynecology and Obstetrics·Muktar H AliyuPhillip J Marty
Jun 6, 2009·Biological Procedures Online·M A HasanJ Uddin
Jun 1, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Eyal SheinerMoshe Mazor
Feb 12, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·B KahanaM Mazor
Nov 9, 2002·Obstetrics and Gynecology·Keith P Williams, France Galerneau
Feb 7, 2009·Journal of Perinatal Medicine·Junichi HasegawaTakashi Okai
Jan 22, 2008·Journal de gynécologie, obstétrique et biologie de la reproduction·O Dupuis, A Simon
Aug 11, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Andrea L Tranquilli
Sep 20, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Atsuko SadakaKaoru Ishikawa
Mar 24, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·David YohaiEyal Sheiner
Apr 7, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Assaad KesrouaniSami Richa
Oct 27, 2014·BMC Pregnancy and Childbirth·Lei HouWeiyuan Zhang
Nov 25, 2011·Autonomic Neuroscience : Basic & Clinical·J C EcheverríaR González-Camarena
Sep 28, 2014·Journal de gynécologie, obstétrique et biologie de la reproduction·A BourtembourgD Riethmuller
Oct 23, 2002·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·E SheinerM Mazor
Apr 18, 2007·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Stefano Raffaele GiannubiloAndrea Luigi Tranquilli
Dec 13, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Eran AshwalRinat Gabbay-Benziv
May 7, 2003·Hospital Medicine·Evelyn Ferguson, Philip Owen
Feb 9, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Teelkien R VAN VeenShalece Kofford

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Related Papers

European Journal of Obstetrics, Gynecology, and Reproductive Biology
B LangerM Laville
European Journal of Obstetrics, Gynecology, and Reproductive Biology
R HershkovitzM Mazor
American Journal of Obstetrics and Gynecology
R C Goodlin
© 2021 Meta ULC. All rights reserved