Garite T J, Linzey E M, Freeman R K, Dorchester W
Obstet Gynecol. 1979 Jun;53(6):716-20.
Over a 3-year period at the Long Beach Women's Hospital, where electronic FHR (fetal heart rate) monitoring was routine, there were 8622 live births, including 41 infants born with major congenital malformations. The neonatal death rate in these malformed infants was 44%; 17 were delivered by cesarean section, 11 of which were performed because of fetal distress. There were no characteristic FHR patterns that would specifically identify major congenital malformations. There was a significantly increased incidence of prematurity, breech presentation, and cesarean section delivery in the congenital malformation group as compared to the overall population delivering at the Women's Hospital. The clinical implications of these observations are discussed.
在长滩妇女医院，电子胎儿心率监测是常规操作，在3年期间，共有8622例活产，其中41例婴儿患有严重先天性畸形。这些畸形婴儿的新生儿死亡率为44%；17例通过剖宫产分娩，其中11例是由于胎儿窘迫进行的剖宫产。没有特定的胎儿心率模式能够明确识别严重先天性畸形。与在妇女医院分娩的总体人群相比，先天性畸形组的早产、臀位分娩和剖宫产分娩发生率显著增加。本文讨论了这些观察结果的临床意义。
