Department of Gynecology and Obstetrics, Herbertpur Christian Hospital, Dehradun, India.
Arch Gynecol Obstet. 2010 Oct;282(4):377-82. doi: 10.1007/s00404-010-1406-4. Epub 2010 Mar 9.
To test the reliability of the admission test to identify the compromised fetus and thus reduce the neonatal morbidity and mortality by early intervention.
A prospective analysis over a period of 1 year from December 2007 to December 2008 included 100 antepartum patients and were evaluated for perinatal outcome in two groups.
In both low and high risk groups the incidence of meconium staining was 25 and 37.5% in patients with nonreactive traces as compared to 8.6 and 9.5%, respectively, in reactive traces with specificity of 90.9%. Clinically detected fetal distress was more common in patients with nonreactive test. Operative interference for fetal distress was more in patients with nonreactive test. Occurence of low Apgar score was more in patients with nonreactive test. Admission to neonatal unit was more in nonreactive than reactive traces. Incidence of neonatal death was more in nonreactive test. Incidence of low birth weight was more in nonreactive trace group and more so in high risk group than in low risk group.
Admission test may be best recommended in all patients irrespective whether they are in low or high risk as incidence of neonatal morbidity is high 33.3% babies required NICU admission and 33% babies expired in nonreactive tracing, in centers where advance facilities are not available. Whenever there is a nonreactive tracing further test should be carried out.
测试入院测试的可靠性，以识别受损胎儿，从而通过早期干预降低新生儿发病率和死亡率。
2007 年 12 月至 2008 年 12 月期间进行了为期 1 年的前瞻性分析，纳入了 100 例产前患者，并在两组中评估围产结局。
在低危组和高危组中，无反应性胎心率监护图形的患者胎粪污染发生率分别为 25%和 37.5%，而反应性胎心率监护图形的患者分别为 8.6%和 9.5%，特异性为 90.9%。无反应性胎心率监护图形患者中更常见临床发现的胎儿窘迫。无反应性胎心率监护图形患者更需要进行手术干预以缓解胎儿窘迫。无反应性胎心率监护图形患者中低 Apgar 评分的发生率更高。无反应性胎心率监护图形患者的新生儿需要入住新生儿重症监护病房的比例更高。无反应性胎心率监护图形患者的新生儿死亡率更高。无反应性胎心率监护图形患者的新生儿低体重发生率更高，且高危组高于低危组。
在无法获得先进设备的中心，入院测试可能被推荐用于所有患者，无论其处于低危或高危状态，因为新生儿发病率较高，有 33.3%的婴儿需要入住新生儿重症监护病房，有 33%的婴儿在无反应性胎心率监护图形下死亡。在无反应性胎心率监护图形下应进行进一步检查。
