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过期妊娠中胎儿风险的检测。

Detection of fetal risk in postmaturity.

作者信息

Homburg R, Ludomirski A, Insler V

出版信息

Br J Obstet Gynaecol. 1979 Oct;86(10):759-64. doi: 10.1111/j.1471-0528.1979.tb10690.x.

DOI:10.1111/j.1471-0528.1979.tb10690.x
PMID:508656
Abstract

Ninety-seven postmature pregnancies were monitored by amnioscopy or amniocentesis (to determine presence or absence of meconium), oxytocin challenge tests (OCT), 24-hour urinary oestriol estimations and fetal movement counts. The colour of the amniotic fluid and the result of the OCT predicted almost all cases of fetal distress in labour and infants with low Apgar scores. Oestriol estimations and fetal movement counts predicted fetal distress only when combined with other positive tests. Of 50 patients with no abnormal test results, 49 had uneventful labours. The Caesarean section rate was not above average and all babies were liveborn.

摘要

对97例过期妊娠进行了羊膜镜检查或羊膜穿刺术(以确定有无胎粪)、催产素激惹试验(OCT)、24小时尿雌三醇测定及胎动计数监测。羊水颜色和OCT结果几乎可预测所有分娩时的胎儿窘迫病例及Apgar评分低的婴儿。只有当雌三醇测定和胎动计数与其他阳性检查结果相结合时,才能预测胎儿窘迫。在50例检查结果无异常的患者中,49例分娩顺利。剖宫产率未高于平均水平,所有婴儿均存活出生。

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