共查询到20条相似文献,搜索用时 31 毫秒
1.
Jantien L. van der Heyden David P. van der Ham Sander van Kuijk Kim J.B. Notten Timothy Janssen Jan G. Nijhuis Christine Willekes Martina Porath Joris A. van der Post Feico Halbertsma Ben Willem J. Mol Eva Pajkrt 《European journal of obstetrics, gynecology, and reproductive biology》2013
Objective
Preterm prelabor rupture of membranes (PPROM) before 27 weeks’ gestation is associated with severe perinatal complications, but quantitative estimates are lacking. The aim of this study was to report and predict outcomes of pregnancies complicated by early PPROM and to study antepartum risk factors that might predict perinatal death in future patients.Study design
We performed a retrospective cohort study of women with PPROM between 13+0 weeks and 27+0 weeks’ gestation between 1994 and 2009 in three perinatal centers.Main outcome measures
Perinatal mortality, composite neonatal morbidity and premature delivery. A model to predict these outcomes was developed from antepartum variables.Results
We identified 314 women with PPROM before 27 weeks, including 28 multiple pregnancies. Six pregnancies (2%) were terminated before 24 weeks’ gestation, and three were lost to follow up, leaving 305 pregnancies for analysis. Overall, there were 166 perinatal deaths (49%). The perinatal mortality rate decreased with increasing gestational age at PPROM (from 70% in the group PPROM 13–20 weeks to 27% in the group PPROM 24–27 weeks). Of the 170 surviving neonates, 70 suffered from serious morbidity (41%). Early gestational age at PPROM, long interval between PPROM and birth and positive vaginal culture (any bacteria) were associated with perinatal mortality.Conclusion
Perinatal mortality in PPROM before 27 weeks occurred in half of the cases and among those who survive approximately 40% suffered serious morbidity. Antenatal parameters can be helpful to predict perinatal mortality. 相似文献2.
Ashraf F. Nabhan Amr ElhelalyMohamed Elkadi 《International journal of gynaecology and obstetrics》2014
Objective
To assess the effectiveness of prophylactic antibiotics compared with placebo in preventing neonatal and maternal infection-related morbidity associated with prelabor spontaneous rupture of membranes at or beyond 36 weeks of pregnancy.Methods
In the present randomized controlled trial conducted during 2009–2011, 1640 women with prelabor spontaneous rupture of fetal membranes at or beyond 36 weeks of pregnancy were randomly assigned to receive a single dose of prophylactic intravenous antibiotics or placebo on admission to the labor ward of Ain Shams University, Cairo, Egypt. The participants, caregivers, and investigators were blinded to the group assignment. The primary outcome measure was early-onset neonatal sepsis. An intention-to-treat analysis was performed.Results
Early-onset neonatal sepsis occurred in 34 (4.1%) and 24 (2.9%) neonates in the antibiotics and placebo groups, respectively (risk ratio 1.42; 95% confidence interval 0.85–2.37). Maternal infection outcomes were not significantly different between the 2 trial arms.Conclusion
The routine use of prophylactic antibiotics in women with prelabor spontaneous rupture of fetal membranes at or beyond 36 weeks of pregnancy does not reduce the risk of neonatal and maternal infection-related morbidity.Trial registration number: ACTRN12608000501347 相似文献3.
Tai-Ho Hung T’sang-T’ang Hsieh Liang-Ming Lo Tsung-Hung Chiu Ching-Chang Hsieh Jenn-Jeih Hsu 《International journal of gynaecology and obstetrics》2013
Objective
To determine risk factors and perinatal outcomes associated with small for gestational age (SGA) neonates among healthy pregnant women.Methods
A retrospective cohort study was conducted of 49 945 women who gave birth at Chang Gung Memorial Hospital, Taipei, Taiwan, after 24 weeks of pregnancy. Idiopathic SGA newborns (n = 3398) were characterized by a birth weight below the 10th percentile for mean weight corrected for GA and fetal sex.Results
Risk factors for idiopathic SGA newborns included hypercoiling of the umbilical cord (adjusted odds ratio [aOR], 3.3; 95% confidence interval [CI], 1.6–7.0); prior fetal death (aOR, 2.8; 95% CI, 2.0–3.9); primiparity (aOR, 1.5; 95% CI, 1.4–1.7); adolescent pregnancy (aOR, 1.5; 95% CI, 1.2–2.0), low prepregnancy weight (aOR, 1.6; 95% CI, 1.5–1.8), low prepregnancy body mass index (aOR, 1.1; 95% CI, 1.0–1.3); short stature (aOR, 1.3; 95% CI, 1.1–1.4); and entangled umbilical cord (aOR, 1.1; 95% CI, 1.0–1.3). Idiopathic SGA newborns correlated with increased risk of adverse perinatal outcomes, including fetal death, low Apgar scores, oligohydramnios, placental abruption, and admission to the neonatal intensive care unit.Conclusion
Some risk factors for idiopathic SGA newborns were modifiable, suggesting potential implications for public health. 相似文献4.
Tullio Ghi Michela Nanni Luca Pierantoni Federica Bellussi Maria Letizia Bacchi Reggiani Giacomo Faldella Nicola Rizzo 《European journal of obstetrics, gynecology, and reproductive biology》2013
Objective
To compare the rate of neonatal respiratory morbidity in singletons versus twins delivered by pre-labour caesarean section.Study design
Uncomplicated pregnancies delivered by prelabor caesarean section at 34 + 0 to 37 + 6 weeks’ gestation were retrospectively selected. For both singletons and twins caesarean delivery was undertaken electively only after amniocentesis and if the lecithin/sphingomyelin ratio was ≥2. Neonatal respiratory morbidity was compared in twins versus singletons.Results
241 singletons and 100 twin neonates were included. Overall neonatal respiratory morbidity was comparable between the two groups (25/241 (11.7%) versus 7/100 (7%), p = .331). Between 34 + 0 and 36 + 6 weeks, however, the risk was higher among singleton than twins (15/46 (32.6%) versus 6/72 (8.3%), p < .001). At multiple regression, dichorionicity, gestational age at delivery ≥37 weeks and female sex independently decreased the risk of neonatal respiratory morbidity.Conclusion
The risk of neonatal respiratory morbidity after elective caesarean section seems lower among twins, especially prior to 37 + 0 weeks. 相似文献5.
Adeniran O. Fawole Archana Shah Kabir Dara Augustine C. Umezulike Ademuyiwa B. Eniayewun Adeniyi A. Adewunmi Amos A. Adebayo Olanrewaju E. Onala Abdulkareem O. Sullayman Mohammed Sa'id 《International journal of gynaecology and obstetrics》2011,114(1):37-42
Objective
To determine risk factors for perinatal mortality among hospital-based deliveries in Nigeria.Methods
The WHO Global Maternal and Perinatal Health Survey was implemented in Nigeria as a first step in establishing a global system for monitoring maternal and perinatal health. Twenty-one health facilities with more than 1000 deliveries annually were selected by a stratified multistage cluster sampling strategy. Information was recorded on all women who delivered and their neonates within a 3-month period.Results
Overall, there were 9208 deliveries, comprising 8526 live births, 369 fresh stillbirths, 282 macerated stillbirths, 70 early neonatal deaths, and 721 perinatal deaths. The stillbirth and perinatal mortality rates were, respectively, 71 and 78 per 1000 deliveries; the early neonatal death rate was 8 per 1000 live births. Approximately 10% of all newborns weighed less than 2500 g, and 12.3% were born at less than 37 weeks of gestation. Predictors of perinatal mortality were mother's age, lack of prenatal care, unbooked status, prematurity, and birth asphyxia.Conclusion
The perinatal mortality rate remains unacceptably high in Nigeria. Fresh stillbirth accounted for most perinatal deaths. Interventions to improve the utilization and quality of prenatal care, in addition to the quality of intrapartum care, would considerably reduce perinatal death. 相似文献6.
Resultados perinatales de un protocolo de atención para gestantes con riesgo de prematuridad extrema
A. Corrales Gutiérrez J.A. Suarez GonzalezM.R. Cabrera Delgado M.E. Benavides Casal 《Clínica e investigación en ginecología y obstetricia》2014
Introduction
Gestational age and birthweight are the most important variables that influence perinatal outcomes and future quality of life.Method
An intervention project was applied following a protocol for the perinatal care of women admitted to the Mariana Grajales Perinatal Care Unit in Santa Clara at risk of extremely preterm delivery (26 to 32 weeks).Objective
To evaluate perinatal results and neonatal survival in this high-risk group.Results
The causes of extreme prematurity were, in order of frequency, aggravated preeclampsia, premature rupture of membranes, spontaneous delivery, and gastorrhagia in the second half of pregnancy. The most common route of delivery was cesarean section. Birthweight was less than 1 500 g in 52% of the neonates, mainly due to preeclampsia and preterm delivery. Low Apgar scores of 4-6 were found in 12.3% of the neonates with 100% recovery at 5 minutes. Delivery occurred at less than 30 weeks in 30.1%. Pregnancy was prolonged by 8.6 days in preeclampsia, by 6 days in premature rupture of membranes and by 322 days in preterm delivery. The most frequent complications were hyaline membrane disease (15%) and sepsis (36.9%), which provoked one death.Conclusions
Survival in this group of high-risk neonates was high, decisively influencing the low infant mortality rate in this unit in 2009-2010. 相似文献7.
María Cerrillo Martínez Esteban González MirasolMaría Dolores Díaz Serrano Azucena Tello MuñozGaspar González de Merlo 《Progresos de Obstetricia y Ginecología》2007
Objective
To determine the outcomes of twin pregnancies resulting from in vitro fertilization (IVF) compared with those resulting from spontaneous conception.Material and methods
We performed a historical cohort study comparing neonatal outcomes of twin pregnancies resulting from IVF (n = 44) with those resulting from spontaneous conception (n = 109) in the Complejo Hospitalario Universitario de Albacete (Spain) in 2001, 2001 and 2003. The primary variable was perinatal mortality. Secondary variables were fetal morbidity (neonatal abnormalities, Apgar < 7, acidotic arterial pH, admission to the neonatal unit), preterm delivery, maternal complications, and type of delivery.Results
No differences in perinatal mortality and morbidity were found between spontaneous twin pregnancies and twins resulting from assisted reproductive techniques. The rate of preterm labor was significantly higher in spontaneous twin pregnancies (75.2 versus 52%; p = 0.006). The incidence of gestational diabetes was significantly higher in twin pregnancies resulting from IVF than in spontaneous twin pregnancies (25.5 versus 9.7%;p = 0.01).Conclusions
Perinatal and maternal outcomes in twin pregnancies resulting from IVF are similar to those of spontaneous twin pregnancies. 相似文献8.
Rachel F. Spitzer Sarah Jane Steele David Caloia Julie Thorne Alan D. Bocking Astrid Christoffersen-Deb Aaron Yarmoshuk Loise Maina Johanna Sitters Benjamin Chemwolo Elkanah Omenge 《International journal of gynaecology and obstetrics》2014
Objective
To determine the impact of introducing an emergency obstetric and neonatal care training program on maternal and perinatal morbidity and mortality at Moi Teaching and Referral Hospital, Eldoret, Kenya.Methods
A prospective chart review was conducted of all deliveries during the 3-month period (November 2009 to January 2010) before the introduction of the Advances in Labor and Risk Management International Program (AIP), and in the 3-month period (August–November 2011) 1 year after the introduction of the AIP. All women who were admitted and delivered after 28 weeks of pregnancy were included. The primary outcome was the direct obstetric case fatality rate.Results
A total of 1741 deliveries occurred during the baseline period and 1812 in the postintervention period. Only one mother died in each period. However, postpartum hemorrhage rates decreased, affecting 59 (3.5%) of 1669 patients before implementation and 40 (2.3%) of 1751 afterwards (P = 0.029). The number of patients who received oxytocin increased from 829 (47.6%) to 1669 (92.1%; P < 0.001). Additionally, the number of neonates with 5-minute Apgar scores of less than 5 reduced from 133 (7.7%) of 1717 to 95 (5.4%) of 1745 (P = 0.006).Conclusion
The introduction of the AIP improved maternal outcomes. There were significant differences related to use of oxytocin and postpartum hemorrhage. 相似文献9.
Liying Zou Xin WangYan Ruan Guanghui LiYi Chen Weiyuan Zhang 《International journal of gynaecology and obstetrics》2014
Objective
To determine the incidence of preterm birth, its regional distribution, and associated neonatal mortality in mainland China.Methods
In a multicenter, hospital-based investigation of preterm birth, 2011 data were obtained from the seven administrative regions of mainland China. Between one and three subcenters were randomly selected for each administrative region, followed by secondary and tertiary hospitals within the chosen subcenters. Data were obtained from women’s medical records, and obstetric and perinatal events were summarized.Results
Data for 107 905 deliveries were analyzed, which included 7769 (7.1%) preterm births (occurring between 28 and 37 weeks of pregnancy). The incidence varied among regions. Late preterm birth (between 34 and 37 weeks) accounted for 5495 (70.7%) of preterm births. The neonatal mortality rate was 33 deaths per 1000 live preterm births. Of the 254 neonatal deaths, 147 (57.9%) occurred after very preterm birth (between 28 and 32 weeks). Overall, 4519 (58.2%) preterm births occurred by cesarean.Conclusion
The distribution of preterm birth across China is unbalanced, and neonatal mortality associated with preterm birth is high. 相似文献10.
Alexandra Kristufkova Miroslav Korbel Miroslav Borovsky Marian Knight 《International journal of gynaecology and obstetrics》2013
Objective
To investigate whether there are differences in maternal and perinatal outcomes between Slovakia and the UK, and whether any observed variations can be attributed to differences in perinatal care.Methods
Data on outcomes of perinatal care in Slovakia and the UK between 2006 and 2010 were compared. Perinatal mortality figures included stillbirths weighing 1000 g or more and early neonatal deaths.Results
In Slovakia, the perinatal mortality rate was significantly higher than that in the UK (RR 1.12; 95% CI, 1.06–1.18). Cesarean delivery was significantly more frequent in Slovakia (RR 1.05; 95% CI, 1.05–1.06); instrumental vaginal delivery was less frequent (ventouse delivery, RR 0.20; 95% CI, 0.19–0.21; forceps delivery, RR 0.09; 95% CI, 0.09–0.10). Episiotomy and peripartum hysterectomy were performed more often in Slovakia (episiotomy, RR 4.10; 95% CI, 4.07–4.12; peripartum hysterectomy, RR 2.02; 95% CI 1.65–2.47). The incidence of eclampsia was significantly higher in Slovakia (RR 1.60; 95% CI, 1.26–2.04). There were no significant differences in the rates of maternal death.Conclusion
Perinatal care outcomes and intervention rates differ between Slovakia and UK. This may be explained by differences in outcome definitions, perinatal care, and official encouragement of medical complaints. 相似文献11.
12.
Vincent Lavoué Laure Voguet Bruno Laviolle Caroline Piau Marie Pascale Beaumont Laure-Anne Haumont Hélène Isly Linda Lassel Estelle Bauville Karine Morcel Patrick Pladys Patrice Poulain Pierre Bétrémieux Claude Bendavid 《European journal of obstetrics, gynecology, and reproductive biology》2013
Objectives
The incidence of neonatal respiratory morbidity following an elective caesarean section is 2–3 times higher than after a vaginal delivery. The microviscosity of surfactant phospholipids, as measured with fluorescence polarisation, is linked with the functional characteristics of fetal surfactant and thus fetal lung maturity, but so far this point has received little attention in new-borns at term. The aim of the study is to evaluate the correlation between neonatal respiratory morbidity and amniotic microviscosity (Fluorescence Polarisation Index) in women undergoing caesarean section after 37 weeks’ gestation.Study design
The files of 136 women who had undergone amniotic microviscosity studies during elective caesarean deliveries at term were anonymised. Amniotic fluid immaturity (AFI) was defined as a Fluorescence Polarisation Index higher than 0.335.Results
Respiratory morbidity was observed in 10 babies (7.3%) and was independently associated with AFI (OR: 6.11 [95% CI, 1.20–31.1] with p = 0.029) and maternal body mass index (OR: 1.12 [95% CI, 1.02–1.22] with p = 0.019). Gestational age at the time of caesarean delivery was inversely associated with AFI (odds ratio, 0.46 [95% confidence interval, 0.29–0.71], p < 0.001), especially before 39 weeks, and female gender was associated with an increased risk (odds ratio, 3.29 [95% confidence interval, 1.48–7.31], p = 0.004).Conclusions
AFI assessed by amniotic microviscosity was significantly associated with respiratory morbidity and independently correlated with shorter gestational age especially before 39 weeks. This finding provides a physiological rationale for recommending delaying elective caesarean section delivery until 39 weeks of gestation to decrease the risk for respiratory morbidity. 相似文献13.
Amir Weissman Irena Ulanovsky Yechiel Burke Imad R. Makhoul Shraga Blazer Arie Drugan 《European journal of obstetrics, gynecology, and reproductive biology》2013
Objectives
To evaluate the impact of advances in perinatal and neonatal care in the past three decades on the outcome of triplet pregnancies.Study design
We compared the outcome of 29 sets of triplets born in our medical center during 1978–1987 with 34 sets of triplets born in the same medical center during 2001–2011. Data were extracted from maternal and neonatal medical records.Results
There were no significant differences in mortality or morbidity in any of the studied outcome measures between the two epochs. Of the 34 women with triplet pregnancies in the present cohort only 28 (82%) took all three born babies home, not different from the 86% found in the early cohort. The overall take-home baby rate was 93% (95/102) in the present cohort, not different than the 86% (74/86) in the early cohort.Conclusions
Despite technological advances in perinatal and neonatal care, there was no significant improvement in the outcome of triplet pregnancies during the past three decades. 相似文献14.
Andreas Herbst Karin Källén 《European journal of obstetrics, gynecology, and reproductive biology》2007
Objective
To study the association between mode of delivery and neonatal outcome in singleton pregnancy with breech presentation and preterm birth, due to premature labour (PTL) and/or preterm premature rupture of the membranes (pPROM).Design and methods
Information on preterm (gestational week 25–36) singleton births in breech presentation in Sweden during 1990–2002 was obtained from the Swedish Medical Birth Registry and the Swedish Hospital Discharge Registry. The study groups included 1975 caesarean and 699 vaginal deliveries with a diagnosis of PTL or pPROM, without pregnancy complications implying a high risk of fetal compromise. The rates of infant respiratory distress syndrome (IRDS), intraventricular haemorrhage (IVH), low Apgar scores, and neonatal deaths were compared between infants delivered vaginally and by caesarean section. Odds ratios were calculated with adjustment for gestational age, year of birth, maternal age and parity.Results
The risk of neonatal death and the risk of an Apgar score below 5 min postnatally were both lower after caesarean delivery (OR 0.4; 95% CI 0.2–0.7, and OR 0.4; 95% CI 0.3–0.7, respectively), whereas the risk of IRDS was increased (OR 2.1; 95% CI 1.4–3.2). A diagnosis of IRDS was not associated with mortality (OR 0.8; 95% CI 0.5–1.5). IVH was not associated with mode of delivery (OR 1.2; 95% CI 0.5–2.8).Conclusion
The lower neonatal mortality after CS supports a policy of caesarean delivery of the preterm breech. 相似文献15.
Hamisu M. Salihu Jingyi DuanSarah K. Nabukera Alfred K. Mbah Amina P. Alio 《European journal of obstetrics, gynecology, and reproductive biology》2011,154(1):31-36
Objective
To assess whether young maternal age at initiation of childbearing is associated with recurrence of perinatal mortality (PM), as well as its components: stillbirth and neonatal death.Study design
We conducted a population-based, retrospective cohort study on the Missouri maternally linked longitudinal data files comprising adolescent (10-19 years; n = 73,533) or mature (20-24 years; n = 78,618) mothers in their first pregnancy with follow-up in their second pregnancy to document the occurrence of PM or its components. The study covered the period 1989-2005. We used unconditional logistic regression modeling to generate odds ratios and to control for confounding.Results
A history of perinatal mortality, stillbirth, or neonatal mortality increased the risk of a recurrence by 4-5 times. Among women with a history of PM or stillbirth in the first pregnancy, maternal age at initiation of pregnancy was not a risk factor for subsequent PM or its components. However, adolescent mothers with a history of neonatal mortality in the first pregnancy were about 5 times as likely to experience stillbirth in the second pregnancy, as compared to their mature counterparts.Conclusions
Young maternal age at the initiation of childbearing is not associated with an overall increased risk of recurrent perinatal loss. However, prior history of neonatal mortality among teen mothers is strongly predictive of subsequent stillbirth. 相似文献16.
E. Reyna-Villasmil J. Mejia-MontillaJ. Santos-Bolívar D. Torres-CepedaY. Navarro-Briceño J. Aragón-CharryN. Reyna-Villasmil 《Clínica e investigación en ginecología y obstetricia》2014
Objective
To determine the association between Doppler velocimetry values of uterine artery blood flow with the risk of perinatal death in preeclamptic patients.Materials and method
We selected 80 patients with a diagnosis of preeclampsia. Preeclamptic patients were divided into those with perinatal deaths and those without. The variables analyzed were the pulsatility index, the resistance index, and the systolic/diastolic flow ratio of the uterine arteries.Results
There were no differences in maternal age, height or weight between preeclamptic patients with or without perinatal deaths (p = ns), or between gestational age at the time of Doppler ultrasound and systolic and diastolic blood pressure (p = ns). The pulsatility index (1.206 ± 0.140) and resistance index (0.684 ± 0.098) of the uterine arteries were significantly higher in women with perinatal deaths than in those without (1.113 ± 0.109 and 0.605 ± 0.116, respectively; P<.05). No significant differences were found in mean values of the systolic/diastolic flow ratio of the uterine arteries (p = ns).Conclusion
A high value of the pulsatility index and resistance index of the uterine arteries on Doppler velocimetry in preeclamptic patients is associated with an increased risk of perinatal death. 相似文献17.
Boldizsár Horvath Magda Grasselly Tamas Bodecs Imre Boncz József Bodis 《European journal of obstetrics, gynecology, and reproductive biology》2012
Objective
To determine the interaction between histological chorioamnionitis and unexplained neonatal cerebral palsy among low birth weight infants.Study design
We studied 141 preterm infants below 1500 g delivered between 2000 and 2010. Clinical data, neonatal neuroimaging, laboratory results, the histopathological features of the placenta and gastric smear within the first hour of delivery, were evaluated.Results
Cerebral palsy was detected in 11 out of 141 preterm newborns (7.8%). The incidence of silent histological chorioamnionitis was 33.6% (43 of 128 cases). Chorioamniontis was significantly associated with the risk of unexplained cerebral palsy (p = 0.024). There were also significant correlations between maternal genital infections and chorioamnionitis (p = 0.005), and between maternal infections and a positive smear of neonatal gastric aspirates (p = 0.000). The rate of cesarean section was 67.4% (95 out of 141 deliveries), and elective cesarean section was performed in 68 cases.Conclusion
Intrauterine exposure to maternal infection was associated with a marked increase in the risk of cerebral palsy in preterm infants. 相似文献18.
Eamonn Breslin Angelika Kaufmann Siobhan Quenby 《European journal of obstetrics, gynecology, and reproductive biology》2013
Objectives
Pre-eclampsia is a placental, inflammatory disease modified by maternal anti-oxidant status to give a syndrome. In its most severe forms pre-eclampsia is followed by maternal and neonatal mortality and morbidity. Bilirubin is a known antioxidant and as such is associated with a reduced risk of cardiovascular and respiratory disease. Hence we aimed to find an association between maternal bilirubin levels and the clinical severity of the disease.Study design
A retrospective observational study of 50,712 pregnancies, 925 of which had pre-eclampsia (1999–2010), to examine the association between bilirubin level and perinatal outcome.Results
In women with pre-eclampsia, those with bilirubin levels in the lowest quintile were more likely to require caesarean section (p = 0.001, aOR 2.59 (1.52–5.72)). The lowest quintile of bilirubin levels is associated with an increased risk of poor maternal (p = 0.002, aOR 3.52 (95%CI 1.6–7.7)) and infant/fetal (p = 0.001, OR = 3.05 (95%CI = 1.63–5.72)) outcome.Conclusions
Low levels of bilirubin were associated with poor maternal and infant outcomes in women diagnosed with pre-eclampsia. Bilirubin may act as an anti-oxidant in this condition and thus modify the disease. 相似文献19.
Mercedes Valverde Pareja Alberto Puertas PrietoMaría Paz Carrillo Badillo Isabel Pérez HerrezueloFrancisco Montoya Ventoso 《Progresos de Obstetricia y Ginecología》2010
Objective
To evaluate the effectiveness of pulse oximetry and fetal electrocardiogram in the management of labor with fetal heart rate patterns associated with a risk of loss of fetal well-being.Subjects and methods
We performed an open, randomized, experimental trial with two groups: pulse oximetry was used in one group and the STAN® technique was used in the other. Each group included 40 women with single, term pregnancies in cephalic presentation and fetal heart rate patterns associated with a risk of loss of fetal well-being. The overall cesarean section rate, indications of risk of fetal distress, and neonatal acid-base balance were evaluated.Results
No significant differences were found in the rate of cesarean section (47.5 vs 40%; P = .33), indications of risk of fetal distress (32.5 vs 37.5%; P = .41), or neonatal outcomes.Conclusions
The use of pulse oximetry and STAN®21, as auxiliary methods to cardiotocographic recording, showed no superiority in reducing the cesarean section rate or improving neonatal outcomes. 相似文献20.
Francesc Figueras Elisenda EixarchEva Meler Ainara IraolaJosep Figueras Bienvenido PuertoEduard Gratacos 《European journal of obstetrics, gynecology, and reproductive biology》2008