PMID: 3790466Oct 1, 1986Paper

Fetal distress during labour in diabetic pregnancy

British Journal of Obstetrics and Gynaecology
P OlofssonT Solum

Abstract

The frequency of fetal distress in labour was studied in 46 diabetic women and in 46 non-diabetic matched controls. Fetal distress was assessed by electronic fetal heart rate (FHR) monitoring and fetal scalp blood pH determinations in late first stage of labour. Ominous FHR and/or low pH (less than 7.26) was more common in the diabetic group than in the control group (17.4% and 10.9%, respectively) but the difference was not statistically significant. The frequency of caesarean section and low Apgar score at 1 min was significantly higher in the diabetic group (P less than 0.05). There was no correlation between maternal blood glucose regulation and the occurrence of fetal distress in the diabetic group. The results suggest that fetal distress may be slightly more common in labour in diabetic women compared with controls managed in a similar way. Careful FHR monitoring and liberal use of fetal scalp blood pH determinations is recommended.

References

Jan 15, 1978·American Journal of Obstetrics and Gynecology·J E RobillardF G Smith
Sep 1, 1985·Clinical Obstetrics and Gynecology·W W Hay, J W Sparks
Apr 1, 1972·The Journal of Obstetrics and Gynaecology of the British Commonwealth·B S Schifrin
Oct 1, 1971·The Journal of Obstetrics and Gynaecology of the British Commonwealth·R W BeardG M Roberts
Jun 1, 1970·The Journal of Clinical Investigation·H F Bunn, R W Briehl
Jan 1, 1984·Acta Obstetricia Et Gynecologica Scandinavica·H Madsen, J Ditzel
Jan 1, 1981·Acta Obstetricia Et Gynecologica Scandinavica. Supplement·E Ingemarsson
Feb 15, 1982·American Journal of Obstetrics and Gynecology·R ArtalS H Golde
Jun 1, 1982·British Journal of Anaesthesia·R J WillcourtJ T Queenan
Jun 15, 1982·American Journal of Obstetrics and Gynecology·H Madsen, J Ditzel

Citations

Jan 1, 1987·Journal of Perinatal Medicine·P OlofssonN O Sjöberg
Jan 15, 2008·Journal de gynécologie, obstétrique et biologie de la reproduction·V Houfflin-DebargeP Deruelle
Oct 30, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·P A MoranM D Gillmer
Sep 14, 2010·Best Practice & Research. Clinical Endocrinology & Metabolism·Kari A Teramo
Aug 28, 2015·Journal of Perinatology : Official Journal of the California Perinatal Association·G A VilchezR J Sokol
Mar 27, 2013·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·Philipp ReifUwe Lang
Sep 27, 2005·American Journal of Audiology·Susan G StantonSarah C Couch

Related Concepts

Apgar Score
Postcesarean Section
Umbilical Cord Blood
Fetal Distress
Heart Rate, Fetal
Hydrogen-Ion Concentration
Obstetric Labor Complications
Pregnancy in Diabetics

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