Richter R, Hohl M, Lüscher K P, Stucki D
Z Geburtshilfe Perinatol. 1980 Jun;184(3):195-9.
Fetuses failing to exhibit accelerations in antepartum fetal heart rate (FHR) testing are considered to be at risk. However, until now the prognostic value of intrapartum FHR-accelerations is not known. The occurrence or absence of accelerations during the last 30 minutes preceding delivery was compared in 812 intrapartum FHR-records with FHR-score (3), umbilical cord artery pH, one and five minute Apgar score values. When accelerations were absent during the last 30 minutes before delivery, severe neonatal depression was observed in 10 per cent of neonates as compared to 5 per cent when accelerations were present. This difference is statistically significant. If accelerations were observed, no correlation was found between rate of FHR increase, amplitude, or duration of accelerations, and fetal or neonatal state.
在产前胎儿心率（FHR）检测中未出现加速的胎儿被认为处于危险之中。然而，迄今为止，产时FHR加速的预后价值尚不清楚。在812份产时FHR记录中，比较了分娩前最后30分钟内加速的出现与否与FHR评分（3分）、脐动脉pH值、1分钟和5分钟阿氏评分值。当分娩前最后30分钟内未出现加速时，10%的新生儿出现严重新生儿抑郁，而出现加速时这一比例为5%。这种差异具有统计学意义。如果观察到加速，未发现FHR增加速率、加速幅度或持续时间与胎儿或新生儿状态之间存在相关性。
