Validity of short term variation (STV) in detection of fetal acidemia
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| 024 | 7 | 0 | |a 10.1515/JPM.2003.031 |2 doi |
| 035 | |a (NATIONALLICENCE)gruyter-10.1515/JPM.2003.031 | ||
| 245 | 0 | 0 | |a Validity of short term variation (STV) in detection of fetal acidemia |h [Elektronische Daten] |c [M. M. Anceschi, J. J. Piazze, A. Ruozi-Berretta, E. Cosmi, A. Cerekja, L. Maranghi, E. V. Cosmi] |
| 520 | 3 | |a Aims: We aimed to establish a cut-off for short term variation (STV) in msec in electronic FHR tracings as a single parameter for the prediction of neonatal acidemia and hypercarbia at birth. Methods: 195 consecutive cases of singleton pregnancies between 26 to 42 weeks' gestation delivered by cesarean section, with an antepartum tracing performed within 4 hours from birth and umbilical artery gas analysis (UBGA) available at birth. Results: A positive correlation (r = 0.27, p < 0.0001) was found when STV was regressed against gestational age. We also found significant correlations between STV and UBGA parameters (pH [r = 0.12, p < 0.05] and pCO2 [r =- 0.17, p < 0.01]). In order to evaluate the influence of gestational age on STV values, we subdivided patients into three subgroups (< 34 weeks: n = 31; 35-37 weeks: n = 37, and > 37 wks: n = 127). Only in the subgroup < 34 wks,STV < 5.1 msec was a significant predictor of acidemia (pH < 7.0), (sensitivity: 100%, specificity: 61%, p < 0.05); in the same subgroup STV < 4.9 msec predicted pCO2>60 mmHg with a sensitivity: 71.4% and a specificity: 62.5% (p < 0.02). Conclusion: In cases < 34 weeks' gestation, STV values below 4.9 msec and 5.1 msec are able to predict umbilical artery pH < 7.0 and PCO2>60 mmHg, respectively. | |
| 540 | |a Copyright © 2003 by Walter de Gruyter GmbH & Co. KG | ||
| 690 | 7 | |a Human reproduction, growth & development |2 nationallicence | |
| 690 | 7 | |a Gynaecology & obstetrics |2 nationallicence | |
| 690 | 7 | |a Paediatric medicine |2 nationallicence | |
| 700 | 1 | |a Anceschi |D M. M. |4 aut | |
| 700 | 1 | |a Piazze |D J. J. |4 aut | |
| 700 | 1 | |a Ruozi-Berretta |D A. |4 aut | |
| 700 | 1 | |a Cosmi |D E. |4 aut | |
| 700 | 1 | |a Cerekja |D A. |4 aut | |
| 700 | 1 | |a Maranghi |D L. |4 aut | |
| 700 | 1 | |a Cosmi |D E. V. |4 aut | |
| 773 | 0 | |t Journal of Perinatal Medicine |d Walter de Gruyter |g 31/3(2003-05-14), 231-236 |x 0300-5577 |q 31:3<231 |1 2003 |2 31 |o jpme | |
| 856 | 4 | 0 | |u https://doi.org/10.1515/JPM.2003.031 |q text/html |z Onlinezugriff via DOI |
| 908 | |D 1 |a research article |2 jats | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1515/JPM.2003.031 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Anceschi |D M. M. |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Piazze |D J. J. |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Ruozi-Berretta |D A. |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Cosmi |D E. |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Cerekja |D A. |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Maranghi |D L. |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Cosmi |D E. V. |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Journal of Perinatal Medicine |d Walter de Gruyter |g 31/3(2003-05-14), 231-236 |x 0300-5577 |q 31:3<231 |1 2003 |2 31 |o jpme | ||
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| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-gruyter | ||