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[Different types of acidemia at birth, fetal heart rate patterns and infants outcome at four years of age]

Wu, L; Thorngren-Jerneck, Kristina LU and Ingemasson, I (1998) In Zhonghua fu chan ke za zhi 33. p.5-462
Abstract
OBJECTIVE: To study the relations between different types of acidemia in umbilical artery at birth, fetal heart rate patter'ns (FHR) during laobr and infant long-term outcome. METHODS: 2,981 cases with singleton term pregnancy were selected for retrospective case-control study. Fetal monitoring was performed periodically during labor and umbilical blood gas was analyzed at birth and the infants outcome was followed up at age 4. RESULTS: There were 47 infants with pure metabolic acidemia and 67 infants with mixed acidemia. The incidence of FHR score < 6 and 6-7 at the end of first stage was significantly higher in the two study groups than that in the control group. Late deceleration was associated with pure metabolic acidemia and... (More)
OBJECTIVE: To study the relations between different types of acidemia in umbilical artery at birth, fetal heart rate patter'ns (FHR) during laobr and infant long-term outcome. METHODS: 2,981 cases with singleton term pregnancy were selected for retrospective case-control study. Fetal monitoring was performed periodically during labor and umbilical blood gas was analyzed at birth and the infants outcome was followed up at age 4. RESULTS: There were 47 infants with pure metabolic acidemia and 67 infants with mixed acidemia. The incidence of FHR score < 6 and 6-7 at the end of first stage was significantly higher in the two study groups than that in the control group. Late deceleration was associated with pure metabolic acidemia and complicated variable deceleration with mixed acidemia. Both types of acidemia were correlated with Apgar scores below 7 at 1 minute after birth. Developmental screening at age 4 showed no significant differences between the two study groups and the control groups. In the mixed acidemia group there were slightly more infants had deficits in speech/language development. CONCLUSIONS: Late deceleration may be an indicator of pure metabolic acidemia and complicated variable deceleration be an indicator of mixed acidemia. Both types of acidemia were correlated with Apgar scores below 7 at 1 minute after birth. The relation between acidemia at birth and deficit in speech/language development should be further evaluated. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Zhonghua fu chan ke za zhi
volume
33
pages
5 - 462
external identifiers
  • Scopus:0032129446
language
English
LU publication?
yes
id
cdaabc46-b24f-41cf-9625-706baf65ea15 (old id 1296584)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed?term=10806742
date added to LUP
2012-12-12 13:46:08
date last changed
2016-10-13 05:00:03
@misc{cdaabc46-b24f-41cf-9625-706baf65ea15,
  abstract     = {OBJECTIVE: To study the relations between different types of acidemia in umbilical artery at birth, fetal heart rate patter'ns (FHR) during laobr and infant long-term outcome. METHODS: 2,981 cases with singleton term pregnancy were selected for retrospective case-control study. Fetal monitoring was performed periodically during labor and umbilical blood gas was analyzed at birth and the infants outcome was followed up at age 4. RESULTS: There were 47 infants with pure metabolic acidemia and 67 infants with mixed acidemia. The incidence of FHR score &lt; 6 and 6-7 at the end of first stage was significantly higher in the two study groups than that in the control group. Late deceleration was associated with pure metabolic acidemia and complicated variable deceleration with mixed acidemia. Both types of acidemia were correlated with Apgar scores below 7 at 1 minute after birth. Developmental screening at age 4 showed no significant differences between the two study groups and the control groups. In the mixed acidemia group there were slightly more infants had deficits in speech/language development. CONCLUSIONS: Late deceleration may be an indicator of pure metabolic acidemia and complicated variable deceleration be an indicator of mixed acidemia. Both types of acidemia were correlated with Apgar scores below 7 at 1 minute after birth. The relation between acidemia at birth and deficit in speech/language development should be further evaluated.},
  author       = {Wu, L and Thorngren-Jerneck, Kristina and Ingemasson, I},
  language     = {eng},
  pages        = {5--462},
  series       = {Zhonghua fu chan ke za zhi},
  title        = {[Different types of acidemia at birth, fetal heart rate patterns and infants outcome at four years of age]},
  volume       = {33},
  year         = {1998},
}