Obstetric history and the heart-rate response of newborns to sound

Two groups of clinically normal newborns, differing in the number of non-optimal factors in their obstetric history, were compared by measuring heart-rate response to a series of auditory stimuli. There was a significant difference between the groups in the direction of the average heart-rate response. The high risk" group showed more heart-rate acceleration and less deceleration compared with the "low-risk" group. The heart-rate responses were significantly related to the number of non-optimal obstetric conditions and to parity, but not to the maternal pre-delivery medication score. The greater the "risk" at birth, the less was the deceleration; the greater the maternal parity, the less did acceleration occur in response to auditory stimulation. There was no significant difference between the high-risk and low-rsik groups in heart-rate response trends over trials. Both groups showed reliable diminution of deceleration heart-rate response over trials.

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