TY - JOUR
T1 - Search for the most predictive tests of fetal well-being in early labor
AU - Chua, Selina
AU - Arulkumaran, Sabaratnam
AU - Kurup, Asha
AU - Anandakumar, Chinnaiyah
AU - Selemat, Norshidah
AU - Ratnam, Shan S.
PY - 1996
Y1 - 1996
N2 - The aim of the study was to evaluate the admission CTG alone and in combination with the following tests: fetal acoustic stimulation test (FAST), maternal perception of sound provoked fetal movement (mpSPFM), amniotic fluid index (AFI), and umbilical artery doppler studies in early labor. 1092 singleton pregnancies in cephalic presentation, and with intact amniotic membranes at 37 weeks gestation or more, were admitted in early labor to the labor ward at the National University Hospital, Singapore. Admission tests were performed, and labor managed according to established labor ward protocol. Of all the tests performed, only the results of the admission CTG and color of the amniotic fluid were known to the obstetrician. If the admission CTG is normal, AFI is >5cm and there is an acceleratory responses to FAST the incidence of fetal distress is low. In the the presence of a reactive admission CTG and in the absence of thick meconium, fetal heart rate response to FAST and the AFI provided a better selection of the high risk fetus that would require closer monitoring or early delivery. When the admission CTG was suspicious, FAST, AFI, and blood flow velocity waveform studies may allow more confident prediction of the ability of the fetus to withstand the stresses of labor.
AB - The aim of the study was to evaluate the admission CTG alone and in combination with the following tests: fetal acoustic stimulation test (FAST), maternal perception of sound provoked fetal movement (mpSPFM), amniotic fluid index (AFI), and umbilical artery doppler studies in early labor. 1092 singleton pregnancies in cephalic presentation, and with intact amniotic membranes at 37 weeks gestation or more, were admitted in early labor to the labor ward at the National University Hospital, Singapore. Admission tests were performed, and labor managed according to established labor ward protocol. Of all the tests performed, only the results of the admission CTG and color of the amniotic fluid were known to the obstetrician. If the admission CTG is normal, AFI is >5cm and there is an acceleratory responses to FAST the incidence of fetal distress is low. In the the presence of a reactive admission CTG and in the absence of thick meconium, fetal heart rate response to FAST and the AFI provided a better selection of the high risk fetus that would require closer monitoring or early delivery. When the admission CTG was suspicious, FAST, AFI, and blood flow velocity waveform studies may allow more confident prediction of the ability of the fetus to withstand the stresses of labor.
KW - Early labor
KW - Fetal distress
KW - Neonatal outcome
KW - Predictive tests
UR - http://www.scopus.com/inward/record.url?scp=0030004445&partnerID=8YFLogxK
M3 - Article
C2 - 8827567
AN - SCOPUS:0030004445
SN - 0300-5577
VL - 24
SP - 199
EP - 206
JO - Journal of Perinatal Medicine
JF - Journal of Perinatal Medicine
IS - 3
ER -