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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 100 (1993), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 100 (1993), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To investigate the potential value of umbilical artery blood velocity waveform measurement as a screening test for intrapartum fetal distress on admission to the labour ward.Design Prospective study drawn from the local population of pregnant women.Setting The labour ward of the Princess Anne Hospital, Southampton, UK.Subjects 334 women with singleton pregnancies of at least 37 weeks gestation.Main outcome measure Emergency caesarean section for fetal distress.Results There was a twelvefold increase in the rate of emergency caesarean section for fetal distress (95% Confidence Interval (CI), 4.9-29) among women with a systolic/diastolic (S/D) ratio 〈inlineGraphic alt="geqslant R: gt-or-equal, slanted" extraInfo="nonStandardEntity" href="urn:x-wiley:14700328:BJO55:ges" location="ges.gif"/〉3.0, when compared to those with an S/D ratio of 〈3.0 (P 〈 0.00001). Measurement of the umbilical artery blood velocity waveform compared favourably with admission cardiotocography.Conclusions Umbilical artery blood velocity waveform analysis may be used to screen for fetal distress in labour and appears to be particularly sensitive to problems of placental origin. However, it is not likely to confer benefit in labour wards whose fetal heart rate monitoring policy is determined by pregnancy risk factors and admission cardiotocography.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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