Perinatal outcome in the absence of antepartum fetal heart acceleration

K. J. Leveno, L. Williams, R. T. DePalma, P. J. Whalley

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

The perinatal outcome of 27 pregnancies in which antepartum fetal activity testing revealed fetal heart rate acceleration to be either absent or less than 10 beats per minute for 80 minutes is presented. At delivery, each pregnancy was found to have one or more features consistent with uteroplacental insufficiency. These included fetal growth retardation (74%), oligohydramnios (81%), fetal acidosis (41%), meconium (30%), and placental infarction (93%). There were four fetal and seven neonatal deaths, for a perinatal mortality of 41%. Despite of all live-born infants by cesarean section without labor, the infants who died during the neonatal period appeared to be in such poor condition as to preclude survival. The authors conclude that the inability of the fetus to accelerate in heart rate, when not due to maternal medications, is an ominous signal. Throughout the literature on fetal activity testing there are indications that other investigators have had similar experiences. The purpose of the present report is to direct attention to an abnormal fetal activity test result of which the significance is not widely recognized.

Original languageEnglish (US)
Pages (from-to)347-355
Number of pages9
JournalObstetrics and Gynecology
Volume61
Issue number3
StatePublished - 1983

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Fetal Heart
Fetal Movement
Oligohydramnios
Meconium
Fetal Heart Rate
Fetal Growth Retardation
Perinatal Mortality
Pregnancy Outcome
Acidosis
Cesarean Section
Infarction
Fetus
Heart Rate
Mothers
Research Personnel
Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Perinatal outcome in the absence of antepartum fetal heart acceleration. / Leveno, K. J.; Williams, L.; DePalma, R. T.; Whalley, P. J.

In: Obstetrics and Gynecology, Vol. 61, No. 3, 1983, p. 347-355.

Research output: Contribution to journalArticle

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