Intrapartum fetal heart rate monitoring: Evaluation of a standardized system of interpretation for prediction of metabolic acidosis at delivery and neonatal neurological morbidity

Emanuele Soncini, Simone Paganelli, Cristina Vezzani, Giancarlo Gargano, La Sala Giovanni Battista

Research output: Contribution to journalArticle

Abstract

Objective: To assess the ability of the intrapartum fetal heart rate interpretation system developed in 2008 by the National Institute of Child Health and Human Development (NICHD) to predict fetal metabolic acidosis at delivery and neonatal neurological morbidity. Methods: We analyzed the intrapartum fetal heart rate tracings of 314 singleton fetuses at 37 weeks using the NICHD three-tier system of interpretation: Category I (normal), Category II (indeterminate) and Category III (abnormal). Category II was further divided into Category IIA, with moderate fetal heart rate variability or accelerations, and Category IIB, with minimal/absent fetal heart rate variability and no accelerations. The presence and duration of the different patterns were compared with several clinical neonatal outcomes and with umbilical artery acid-base balance at birth. Results: The mean values of pH and base excess decreased proportionally as tracings worsened (p

Original languageEnglish
Pages (from-to)1465-1469
Number of pages5
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume27
Issue number14
DOIs
Publication statusPublished - 2014

Fingerprint

Fetal Heart Rate
Acidosis
National Institute of Child Health and Human Development (U.S.)
Morbidity
Umbilical Arteries
Acid-Base Equilibrium
Fetus
Parturition

Keywords

  • Acidosis
  • Brain
  • Cardiotocography
  • Fetal diseases
  • Hypoxia-ischemia
  • Labor
  • Obstetric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology
  • Medicine(all)

Cite this

Intrapartum fetal heart rate monitoring : Evaluation of a standardized system of interpretation for prediction of metabolic acidosis at delivery and neonatal neurological morbidity. / Soncini, Emanuele; Paganelli, Simone; Vezzani, Cristina; Gargano, Giancarlo; Giovanni Battista, La Sala.

In: Journal of Maternal-Fetal and Neonatal Medicine, Vol. 27, No. 14, 2014, p. 1465-1469.

Research output: Contribution to journalArticle

Soncini, Emanuele ; Paganelli, Simone ; Vezzani, Cristina ; Gargano, Giancarlo ; Giovanni Battista, La Sala. / Intrapartum fetal heart rate monitoring : Evaluation of a standardized system of interpretation for prediction of metabolic acidosis at delivery and neonatal neurological morbidity. In: Journal of Maternal-Fetal and Neonatal Medicine. 2014 ; Vol. 27, No. 14. pp. 1465-1469.
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