Oct 1, 1983

Fetal distress and the condition of newborn infants

British Medical Journal
G S SykesA Turnbull

Abstract

In a prospective audit of the obstetric management of 1210 consecutive deliveries the association was investigated between the need for operative delivery for fetal distress during labour and the condition of the newborn infant. Operative delivery was performed for only 11.5% of the newborn infants with severe acidosis at birth (umbilical artery pH less than 7.12, base deficit greater than 12 mmol (mEq)/1), 24.1% of those with an Apgar score less than 7 at one minute, and 15.8% of those with both severe acidosis and a one minute Apgar score less than 7. Most of the infants delivered operatively were in a vigorous condition at birth and did not have severe acidosis. Fetal blood sampling was done in 4.0% of labours. As none of the fetal blood values were less than 7.20 and only three of the infants sampled in utero suffered severe acidosis at birth, fetal blood sampling would have had to be performed much more often to provide a useful guide to metabolic state at birth. While the large majority of "at risk" fetuses had continuous fetal heart rate monitoring in labour, this had not been provided in 48.7% of the labours of infants with severe acidosis, 38.7% of infants with a one minute Apgar score less than 7, and 47.4% of infants...Continue Reading

  • References18
  • Citations56

References

  • References18
  • Citations56

Citations

Mentioned in this Paper

Postcesarean Section
Fetal Distress
Labor (Childbirth)
Heart Auscultation
Fetal Monitoring
Fetal Heart
Extraction, Obstetrical
Acidosis
Apgar Score
Umbilical Cord Blood

About this Paper

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