Significance of fetal heart rate monitoring combined with umbilical cord blood flow determination in the diagnosis of fetal distress

Objective To evaluate the significance of fetal heart rate monitoring combined with umbilical cord blood flow determination in the diagnosis of fetal distress.Methods A total of 208singleton pregnant women were enrolled.According to the results of fetal heart rate monitoring and umbilical cord blood flow determination,all subjects were divided into group A,with normal results of fetal heart rate monitoring and umbilical cord blood flow determination,group B,with abnormal results of fetal heart rate monitoring and umbilical cord blood flow determination,group C,with abnormal result of umbilical cord blood flow determination and normal result of fetal heart rate monitoring,,and group D,with normal result of umbilical cord blood flow determination and abnormal result of fetal heart rate monitoring.The prenatal and intrapartum incidence of fetal distress and fetal prognosis were observed and analyzed.Results The 1minute Apgar scores of the fetuses in the four groups were 4-10score.The portion of fetuses with 8-10score in group A was significantly higher than the other three groups(P0.05),and the differences between the other three groups were not significant(P0.05).There was no significant difference of amniotic fluid pollution degrees between the four groups(P0.05).The difference of abnormal fetal heart rate between group A and C was not significant(P0.05).There was no significant difference of abnormal fetal heart rate between group B and D(P0.05),but significantly higher than group A and C(P0.05).Conclusion Combined application of fetal heart rate monitoring and umbilical cord blood flow determination might be with significance for the diagnosis of fetal distress,which could make up for the shortage of single application,improve the reliability of the diagnosis,and be worthy for clinical application.