PMID: 3765751May 1, 1986Paper

Pathologic antepartal CTG as a prognostic factor for further development of the child

Zeitschrift für Geburtshilfe und Perinatologie
U LorenzF Kubli

Abstract

A comparison was made between 123 infants with pathologic antepartal cardiotocograms (CTG) during late pregnancy and a corresponding control group of matched individuals with regard to obstetric and neonatal data as well as the subsequent neuromotor development of the infants. The group with pathologic antepartal CTGs contained 14 children with subsequent neuromotor abnormalities (one irreversible spastic diplegia, 13 reversible neuromotor disturbances) as compared to six cases of reversible neuromotor disturbances in the control group with normal antepartal CTGs. When compared to the control group, the group with pathologic antepartal CTGs manifested a significantly higher rate of pathologic intrapartum CTGs, as well as a higher number of clearly depressed neonates and of serious and slight cases of acidosis in the umbilical artery. In cases of neuromotor disturbances and pathologic antepartal CTG, complicated course of pregnancy (toxemia of pregnancy), premature births before the 37th week of pregnancy, and children with a low (less than 2,500 g) and very low (less than 1,500 g) initial weight are all to be found more frequently. There is, moreover, a clear connection between the degree of seriousness of antepartal CTG pathol...Continue Reading

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