Is end-stage deceleration of the fetal heart ominous?

Summary. End-stage deceleration (ESD) defined as deep and sustained fetal bradycardia during the second stage of labour was observed in 55 patients. Fetal well-being and neonatal outcome were assessed with fetal-scalp pH, umbilical-vein pH and l-min Apgar score values. Only six infants with pathological fetal heart-rate patterns before ESD had a l-min Apgar score of <7 and an acidotic umbilical-vein pH. The remaining 49 babies were born in excellent condition, although when ESD persisted for more than 15 min umbilical-vein pH decreased.     

Preoperative diagnosis of primary carcinoma of the fallopian tube

Two instances of primary carcinoma of the Fallopian tube, the diagnosis of both of which was made preoperatively on the basis of inexplicable postmenopausal metrorrhagia, are herewith reported.