Value of umbilical blood flow measurement combined with fetal monitoring for early diagnosis of fetal distress
Fan Jin
Abstract
Fan Jin
Abstract
Objective To investigate the value of umbilical blood flow measurement combined with fetal monitoring for early diagnosis of fetal distress.Methods A total of 160 women with 34-41 weeks pregnant from Mar.2010 to Dec.2013 were selected and divided into four groups according to the results of fetal heart rate monitoring and umbilical blood flow measurement.Both of the two results in the group A were normal.Group B had normal fetal heart rate but abnormal umbilical blood flow.Group C had abnormal fetal heart rate but normal umbilical blood flow.Both of the two results were abnormal in group D.Numbers of fetal distress were compared during pregnancy and delivery among the four groups.Results The incidence of fetal distress in group A,B,C and D was 27.2%(31/114),33.3%(7/21),37.5%(6/16)and 66.7%(6/9)respectively.And the incidence in group A was significant lower than other three groups(P0.05).Conclusion The combined detection of umbilical blood flow and fetal heart rate has higher accuracy rate on diagnosis for fetal distress compared with detecting these two indicators alone,which provide a reliable basis for the prognosis of the fetus with fetal distress,and could be worthy of further promotion in clinical practice.
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Objective To investigate the value of umbilical blood flow measurement combined with fetal monitoring for early diagnosis of fetal distress.Methods A total of 160 women with 34-41 weeks pregnant from Mar.2010 to Dec.2013 were selected and divided into four groups according to the results of fetal heart rate monitoring and umbilical blood flow measurement.Both of the two results in the group A were normal.Group B had normal fetal heart rate but abnormal umbilical blood flow.Group C had abnormal fetal heart rate but normal umbilical blood flow.Both of the two results were abnormal in group D.Numbers of fetal distress were compared during pregnancy and delivery among the four groups.Results The incidence of fetal distress in group A,B,C and D was 27.2%(31/114),33.3%(7/21),37.5%(6/16)and 66.7%(6/9)respectively.And the incidence in group A was significant lower than other three groups(P0.05).Conclusion The combined detection of umbilical blood flow and fetal heart rate has higher accuracy rate on diagnosis for fetal distress compared with detecting these two indicators alone,which provide a reliable basis for the prognosis of the fetus with fetal distress,and could be worthy of further promotion in clinical practice.
Key concepts: Fetal distress, Medicine, Fetus, Obstetrics, Blood flow, Incidence (geometry), Umbilical cord, Pregnancy