Dai M S, Fox H
Department of OB/GYN, Affiliated Hospital, Shandong Medical University, Jinan, PRC.
Chin Med J (Engl). 1991 Feb;104(2):132-7.
A prospective study on consecutive fetal monitoring in 559 deliveries was carried out. The difference between the first 30-minute and the last 30-minute monitoring was compared. Abnormal fetal heart rate (FHR) pattern in the last 30 minutes combined with abnormal fetal scalp blood pH has a good predictability of 1- and 5-minute Apgar scores. The correlation of fetal heart rate-uterine contraction (FHR-UC) monitoring (525 cases) and fetal scalp blood pH determinations (FSB-pH) (79 cases) with the fetal condition was assessed. It is indicated that the first 30-minute FHR tracing can reflect the fetal status in labor, and FHR-UC monitoring assessment is evidently superior to FSB-pH in the prediction of a vigorous fetus. Whereas, FSB-pH is superior to FHR-UC monitoring in the prediction of a compromised fetus.
对559例分娩进行了连续胎儿监测的前瞻性研究。比较了前30分钟和后30分钟监测的差异。后30分钟异常的胎儿心率（FHR）模式与异常的胎儿头皮血pH值相结合，对1分钟和5分钟阿氏评分具有良好的预测性。评估了胎儿心率-子宫收缩（FHR-UC）监测（525例）和胎儿头皮血pH值测定（FSB-pH）（79例）与胎儿状况的相关性。结果表明，前30分钟的FHR描记可反映产时胎儿状况，在预测活力良好的胎儿方面，FHR-UC监测评估明显优于FSB-pH。然而，在预测受损胎儿方面，FSB-pH优于FHR-UC监测。
