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Fetal acceleration determinations and perinatal outcome

F Brettschneider, P Goldstein, D Baer

    The Journal of Reproductive Medicine
    |July 1, 1980
    PubMed
    Summary

    The fetal acceleration determination (FAD) test shows limited value in identifying high-risk pregnancies. This screening method had a high rate of false positives and negatives, with no observed correlation to fetal outcomes.

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Diagnostic Test Evaluation

    Background:

    • Accurate laboratory tests are crucial for clinical management, especially in screening high-risk pregnancies.
    • The fetal acceleration determination (FAD) is used to assess fetal risk, potentially avoiding the oxytocin challenge test (OCT).

    Purpose of the Study:

    • To evaluate the clinical utility of the fetal acceleration determination (FAD) in identifying high-risk obstetric patients.
    • To determine if FAD results correlate with adverse fetal outcomes.

    Main Methods:

    • A retrospective study of 264 patients undergoing FAD within one week of delivery.
    • Fetal outcomes were assessed using Apgar scores, morbidity, mortality, and nursery stay.
    • Statistical analysis included Chi-square contingency analysis and Bayes theorem for specificity.

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    Main Results:

    • The fetal acceleration determination (FAD) demonstrated a high probability of false-positive and false-negative results.
    • No significant correlation was observed between FAD results and measured fetal outcomes.
    • The test's specificity in identifying fetuses at risk was found to be limited.

    Conclusions:

    • The fetal acceleration determination (FAD) has limited value as a screening tool for identifying fetuses at risk.
    • Further research may be needed to explore more reliable methods for high-risk pregnancy assessment.