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Deceleration area of fetal heart rate trace and fetal acidemia at delivery: a case-control study

Stefano Raffaele Giannubilo1, Giorgia Buscicchio, Lucia Gentilucci

  • 1Department of Obstetrics, Marche Polytechnic University, Ancona, Italy.

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
|April 18, 2007
PubMed

Objective:

To assess the correlation between the total deceleration area of the fetal heart rate (FHR) pre-delivery trace and intrapartum fetal acid-base status in a low risk population.

Study Design:

We analyzed the electronic fetal monitoring (EFM) traces of 26 pregnancies with fetuses presenting acidemia at delivery and those of thirty controls. All laboring patients had at least 1 hour of EFM without interruption. The deceleration area was calculated, after digital analysis, with Autocad System 2004.

Results:

We found that the number of decelerations (8.03 +/- 3.77 vs. 4.64 +/- 3.84) and the total deceleration area/hour (35.56 +/- 11.87 vs. 17.81 +/- 9.38) were significantly higher in the study group than in the control group.

Conclusions:

Our results show that quantitative analysis of the deceleration areas by digitized cardiotocography may have a discriminative capacity to predict fetal acidemia at delivery.

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