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Article: Umbilical artery doppler velocimetry compared with fetal heart rate monitoring as a labor admission test

TitleUmbilical artery doppler velocimetry compared with fetal heart rate monitoring as a labor admission test
Authors
Issue Date1994
Citation
European Journal of Obstetrics and Gynecology and Reproductive Biology, 1994, v. 54 n. 1, p. 1-6 How to Cite?
AbstractA total of 155 patients admitted in early labor to the delivery unit of the University of Hong Kong were recruited into a study comparing the value of umbilical artery Doppler velocimetry and fetal heart rate (FHR) monitoring in early labor as an admission test. FHR monitoring for 30 min was recorded on admission, and umbilical A B ratio was simultaneously performed. The FHR tracing was scored according to the Lyons score by a third independent observer after delivery. Outcome variables studied included small for gestational age (SGA), intrapartum FHR abnormalities, operative deliveries for fetal distress, umbilical cord pH, Apgar scores, admission into the special care baby unit, and a combination of the variables. It was found that at cut-off values of Lyons score < 7 and umbilical A B ratio > 2.6 at term, about 19% of cases were abnormal for either tests, with only a few cases of overlap. Umbilical A B ratio was found to be significantly correlated with SGA. The sensitivity and positive predictive values were, however, low. Both tests were relatively poor predictors for most of the outcome variables studied. Interestingly, FHR monitoring did not seem to have any advantage over Doppler velocimetry as a labor admission test. Further larger scale studies to evaluate their usefulness in medium and low risk populations are indicated. © 1994.
Persistent Identifierhttp://hdl.handle.net/10722/194103
ISSN
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, FY-
dc.contributor.authorLam, C-
dc.contributor.authorLam, YH-
dc.contributor.authorTo, WK-
dc.contributor.authorPun, TC-
dc.contributor.authorLee, CP-
dc.date.accessioned2014-01-30T03:32:10Z-
dc.date.available2014-01-30T03:32:10Z-
dc.date.issued1994-
dc.identifier.citationEuropean Journal of Obstetrics and Gynecology and Reproductive Biology, 1994, v. 54 n. 1, p. 1-6-
dc.identifier.issn0028-2243-
dc.identifier.urihttp://hdl.handle.net/10722/194103-
dc.description.abstractA total of 155 patients admitted in early labor to the delivery unit of the University of Hong Kong were recruited into a study comparing the value of umbilical artery Doppler velocimetry and fetal heart rate (FHR) monitoring in early labor as an admission test. FHR monitoring for 30 min was recorded on admission, and umbilical A B ratio was simultaneously performed. The FHR tracing was scored according to the Lyons score by a third independent observer after delivery. Outcome variables studied included small for gestational age (SGA), intrapartum FHR abnormalities, operative deliveries for fetal distress, umbilical cord pH, Apgar scores, admission into the special care baby unit, and a combination of the variables. It was found that at cut-off values of Lyons score < 7 and umbilical A B ratio > 2.6 at term, about 19% of cases were abnormal for either tests, with only a few cases of overlap. Umbilical A B ratio was found to be significantly correlated with SGA. The sensitivity and positive predictive values were, however, low. Both tests were relatively poor predictors for most of the outcome variables studied. Interestingly, FHR monitoring did not seem to have any advantage over Doppler velocimetry as a labor admission test. Further larger scale studies to evaluate their usefulness in medium and low risk populations are indicated. © 1994.-
dc.languageeng-
dc.relation.ispartofEuropean Journal of Obstetrics and Gynecology and Reproductive Biology-
dc.titleUmbilical artery doppler velocimetry compared with fetal heart rate monitoring as a labor admission test-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/0028-2243(94)90073-6-
dc.identifier.pmid8045327-
dc.identifier.scopuseid_2-s2.0-0028293235-
dc.identifier.volume54-
dc.identifier.issue1-
dc.identifier.spage1-
dc.identifier.epage6-
dc.identifier.isiWOS:A1994NG09700001-

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