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  1 / 1798 MEDLINE  
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[PMID]:29444884
[Au] Autor:Sholapurkar SL
[Ad] Endereço:Royal United Hospital, Bath BA1 3NG, UK.
[Ti] Título:Intrapartum cardiotocography and pattern recognition.
[So] Source:BMJ;360:k664, 2018 02 14.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Cardiotocografia
Monitorização Fetal
[Mh] Termos MeSH secundário: Eletrocardiografia
Feminino
Seres Humanos
Gravidez
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180216
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.k664


  2 / 1798 MEDLINE  
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[PMID]:29208652
[Au] Autor:Mullins E; Lees C; Brocklehurst P
[Ad] Endereço:Imperial College London, London, UK.
[Ti] Título:Is continuous electronic fetal monitoring useful for all women in labour?
[So] Source:BMJ;359:j5423, 2017 12 05.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Cardiotocografia
Sofrimento Fetal/diagnóstico
Trabalho de Parto
[Mh] Termos MeSH secundário: Cesárea/efeitos adversos
Feminino
Seres Humanos
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180303
[Lr] Data última revisão:
180303
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5423


  3 / 1798 MEDLINE  
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[PMID]:29341561
[Au] Autor:Dobrosavljevic A; Martic J; Rakic S; Pazin V; Jankovic-Raznatovic S; Sreckovic S; Dobrosavljevic B
[Ti] Título:Massive fetomaternal hemorrhage as a cause of severe fetal anemia.
[So] Source:Vojnosanit Pregl;73(11):1068-71, 2016 Nov.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Introduction: Fetomaternal hemorrhage (FMH) is a transfu-sion of fetal blood into the maternal circulation. A volume of transfused fetal blood required to cause severe, life-threatening fetal anemia, is not clearly defined. Some authors suggest vol-umes of 80 mL and 150 mL as a threshold which defines mas-sive FMH. Therefore, a rate of massive FMH is 1 : 1,000 and 1 : 5,000 births, respectively. Fetal and neonatal anemia is one of the most serious complications of the FMH. Clinical manifesta-tions of FMH are nonspecific, and mostly it presented as re-duced fetal movements and changes in cardiotocography (CTG). The standard for diagnosing FMH is Kleihaurer-Betke test. Case report: A 34-year-old gravida (G) 1, para (P) 1 was hospitalized due to uterine contractions at 39 weeks of gesta-tion. CTG monitoring revealed sinusoidal fetal heart rate and clinical examination showed complete cervical dilatation. Im-mediately after admission, the women delivered vaginally. Ap-gar scores were 1 and 2 at the first and fifth minute, respec-tively. Immediately baby was intubated and mechanical ventila-tion started. Initial analysis revealed pronounced acidosis and severe anemia. The patient received intravenous fluid therapy with sodium-bicarbonate as well as red cell transfusion. With all measures, the condition of the baby improved with normaliza-tion of hemoglobin level and blood pH. Kleihaurer-Betke test revealed the presence of fetal red cells in maternal circulation, equivalent to 531 mL blood loss. The level of maternal fetal hemoglobin (HbF) and elevated alpha fetoprotein also con-firmed the diagnosis of massive FMH. Conclusion: For the successful diagnosis and management of FMH direct commu-nication between the obstetrician and the pediatrician is neces-sary as presented in this report.
[Mh] Termos MeSH primário: Anemia Neonatal/etiologia
Transfusão Feto-Materna/complicações
Circulação Placentária
[Mh] Termos MeSH secundário: Adulto
Anemia Neonatal/sangue
Anemia Neonatal/diagnóstico
Anemia Neonatal/terapia
Asfixia Neonatal/etiologia
Biomarcadores/sangue
Cardiotocografia
Transfusão de Eritrócitos
Feminino
Hemoglobina Fetal/metabolismo
Transfusão Feto-Materna/sangue
Transfusão Feto-Materna/diagnóstico
Transfusão Feto-Materna/terapia
Hidratação
Seres Humanos
Nascimento Vivo
Gravidez
Resultado do Tratamento
alfa-Fetoproteínas/metabolismo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (AFP protein, human); 0 (Biomarkers); 0 (alpha-Fetoproteins); 9034-63-3 (Fetal Hemoglobin)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180118
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150605130D


  4 / 1798 MEDLINE  
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[PMID]:29245247
[Au] Autor:Hilal Z; Mrkvicka J; Rezniczek GA; Dogan A; Tempfer CB
[Ad] Endereço:Department of Obstetrics and Gynecology, Ruhr-Universität Bochum, Bochum, Germany.
[Ti] Título:Accuracy of intrapartum fetal blood gas analysis by scalp sampling: A retrospective cohort study.
[So] Source:Medicine (Baltimore);96(49):e8839, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Fetal blood gas analysis (FBGA) using scalp blood is commonly used to identify serious fetal distress. However, there is a lack of data regarding its accuracy and reliability. The aim of this study was to determine the positive predictive value (PPV) and negative predictive value (NPV) of FBGA for predicting postpartum acidosis in case of nonreassuring fetal heart rate tracings (NRFHRT). To this end, we conducted a retrospective cohort study of singleton term deliveries with NRFHRT according to Fédération Internationale de Gynécologie et d'Obstétrique and Fisher cardiotocography scores undergoing FBGA in a university hospital. The PPV and NPV of FBGA regarding neonatal acidosis (defined as a pH value ≤ 7.15 in arterial or venous umbilical cord blood) and Apgar scores indicating neonatal depression (defined as a 5-min Apgar score ≤5) were evaluated. Multivariate analysis was used to determine the influence of cardiotocography variations and the time delay between FBGA and delivery on the accuracy of FBGA. We analyzed 343 deliveries with NRFHRT. In 32 (9%) of these cases, fetal acidosis was confirmed by a postpartum umbilical cord blood pH value ≤ 7.15. In 308/343 (90%) cases, FBGA identified NRFHRT as false positive (as confirmed by nonacidotic postpartum pH values) and thus avoided unnecessary interventions such as operative delivery. The overall test accuracy of FBGA was 91%. FBGA accurately predicted postpartum cord blood pH values with a margin of ±0.2 in 319/343 (93%) cases. On the other hand, the false negative rate of FBGA was 8% (29/343). The PPV and NPV of FBGA for predicting postpartum acidosis were 50% and 91%, respectively. The sensitivity was 9% and the specificity was 99%. In a multivariate logistic regression analysis, maternal body mass index (odds ratio [OR] 1.1; 95% confidence interval [CI] 1.01-1.17; P = .029) and cardiotocography variations (OR 0.80; 95% CI 0.66-0.98; P = .029) independently affected the predictive value of FBGA. The PPV of FBGA regarding neonatal depression according to Apgar scores was low with only 17%. We conclude that FBGA may be used in clinical practice to rule out, but not to rule in, neonatal acidosis in parturients with NRFHRT. It can avoid unnecessary interventions such as cesarean section or operative vaginal delivery in up to 90% of cases, but cannot reliably detect fetal acidosis.
[Mh] Termos MeSH primário: Acidose/diagnóstico
Sangue Fetal/metabolismo
Sofrimento Fetal/diagnóstico
Diagnóstico Pré-Natal/métodos
Couro Cabeludo/metabolismo
[Mh] Termos MeSH secundário: Acidose/sangue
Acidose/embriologia
Adulto
Índice de Apgar
Gasometria/métodos
Cardiotocografia
Feminino
Sofrimento Fetal/sangue
Sofrimento Fetal/embriologia
Frequência Cardíaca Fetal
Seres Humanos
Recém-Nascido
Valor Preditivo dos Testes
Gravidez
Reprodutibilidade dos Testes
Estudos Retrospectivos
Couro Cabeludo/embriologia
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008839


  5 / 1798 MEDLINE  
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[PMID]:28945767
[Au] Autor:Vandenbroucke L; Doyen M; Le Lous M; Beuchée A; Loget P; Carrault G; Pladys P
[Ad] Endereço:INSERM, UMR1099, Signal and Image Processing Laboratory, SEPIA team, Rennes, France.
[Ti] Título:Chorioamnionitis following preterm premature rupture of membranes and fetal heart rate variability.
[So] Source:PLoS One;12(9):e0184924, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The objective of this study was to identify prenatal markers of histological chorioamnionitis (HC) during pPROM using fetal computerized cardiotocography (cCTG). MATERIALS AND METHODS: Retrospective review of medical records from pregnant women referred for pPROM between 26 and 34 weeks, in whom placental histology was available, in a tertiary level obstetric service over a 5-year period. Fetal heart rate variability was assessed using cCTG. Patients were included if they were monitored at least six times in the 72 hours preceding delivery. Clinical and biological cCTG parameters during the pPROM latency period were compared between cases with or without HC. RESULTS: In total, 222 pPROM cases were observed, but cCTG data was available in only 23 of these cases (10 with and 13 without HC) after exclusion of co-morbidities which may potentially perturb fetal heart rate variability measures. Groups were comparable for maternal age, parity, gestational age at pPROM, pPROM duration and neonatal characteristics (p>0.1). Baseline fetal heart rate was higher in the HC group [median 147.3 bpm IQR (144.2-149.2) vs. 141.3 bpm (137.1-145.4) in no HC group; p = 0.02]. The number of low variation episodes [6.4, (3.5-15.3) vs. 2.3 (1-5.2); p = 0.04] was also higher in the HC group, whereas short term variations were lower in the HC group [7.1 ms (6-7.4) vs. 8.1 ms (7.4-9); p = 0.01] within 72 hours before delivery. Differences were especially discriminant within 24 hours before delivery, with less short-term variation [5 ms (3.7-5.9) vs. 7.8 ms (5.4-8.7); p = 0.007] and high variation episodes [3.9 (4.9-3.2) vs. 0.8 (1.5-0.2); p < 0.001] in the HC group. CONCLUSION: These results show differences in fetal heart rate variability, suggesting that cCTG could be used clinically to diagnoses chorioamnionitis during the pPROM latency period.
[Mh] Termos MeSH primário: Corioamnionite/etiologia
Ruptura Prematura de Membranas Fetais/fisiopatologia
Frequência Cardíaca Fetal
[Mh] Termos MeSH secundário: Adulto
Biomarcadores
Cardiotocografia
Corioamnionite/diagnóstico
Feminino
Seres Humanos
Gravidez
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170926
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184924


  6 / 1798 MEDLINE  
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[PMID]:28862738
[Au] Autor:Stroux L; Redman CW; Georgieva A; Payne SJ; Clifford GD
[Ad] Endereço:Institute of Biomedical Engineering, Department of Ethics approval to use this database was givenEngineering Science, University of Oxford, Oxford, UK.
[Ti] Título:Doppler-based fetal heart rate analysis markers for the detection of early intrauterine growth restriction.
[So] Source:Acta Obstet Gynecol Scand;96(11):1322-1329, 2017 Nov.
[Is] ISSN:1600-0412
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: One indicator for fetal risk of mortality is intrauterine growth restriction (IUGR). Whether markers reflecting the impact of growth restriction on the cardiovascular system, computed from a Doppler-derived heart rate signal, would be suitable for its detection antenatally was studied. MATERIAL AND METHODS: We used a cardiotocography archive of 1163 IUGR cases and 1163 healthy controls, matched for gestation and gender. We assessed the discriminative power of short-term variability and long-term variability of the fetal heart rate, computed over episodes of high and low variation aiming to separate growth-restricted fetuses from controls. Metrics characterizing the sleep state distribution within a trace were also considered for inclusion into an IUGR detection model. RESULTS: Significant differences in the risk markers comparing growth-restricted with healthy fetuses were found. When used in a logistic regression classifier, their performance for identifying IUGR was considerably superior before 34 weeks of gestation. Long-term variability in active sleep was superior to short-term variability [area under the receiver operator curve (AUC) of 72% compared with 71%]. Most predictive was the number of minutes in high variation per hour (AUC of 75%). A multivariate IUGR prediction model improved the AUC to 76%. CONCLUSION: We suggest that heart rate variability markers together with surrogate information on sleep states can contribute to the detection of early-onset IUGR.
[Mh] Termos MeSH primário: Retardo do Crescimento Fetal/diagnóstico por imagem
Frequência Cardíaca Fetal
Ultrassonografia Pré-Natal
[Mh] Termos MeSH secundário: Cardiotocografia
Estudos de Casos e Controles
Feminino
Idade Gestacional
Seres Humanos
Masculino
Gravidez
Medição de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170902
[St] Status:MEDLINE
[do] DOI:10.1111/aogs.13228


  7 / 1798 MEDLINE  
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[PMID]:28613398
[Au] Autor:Alfirevic Z; Stampalija T; Dowswell T
[Ad] Endereço:Department of Women's and Children's Health, The University of Liverpool, First Floor, Liverpool Women's NHS Foundation Trust, Crown Street, Liverpool, UK, L8 7SS.
[Ti] Título:Fetal and umbilical Doppler ultrasound in high-risk pregnancies.
[So] Source:Cochrane Database Syst Rev;6:CD007529, 2017 06 13.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Abnormal blood flow patterns in fetal circulation detected by Doppler ultrasound may indicate poor fetal prognosis. It is also possible that false positive Doppler ultrasound findings could lead to adverse outcomes from unnecessary interventions, including preterm delivery. OBJECTIVES: The objective of this review was to assess the effects of Doppler ultrasound used to assess fetal well-being in high-risk pregnancies on obstetric care and fetal outcomes. SEARCH METHODS: We updated the search of Cochrane Pregnancy and Childbirth's Trials Register on 31 March 2017 and checked reference lists of retrieved studies. SELECTION CRITERIA: Randomised and quasi-randomised controlled trials of Doppler ultrasound for the investigation of umbilical and fetal vessels waveforms in high-risk pregnancies compared with no Doppler ultrasound. Cluster-randomised trials were eligible for inclusion but none were identified. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed the studies for inclusion, assessed risk of bias and carried out data extraction. Data entry was checked. We assessed the quality of evidence using the GRADE approach. MAIN RESULTS: Nineteen trials involving 10,667 women were included. Risk of bias in trials was difficult to assess accurately due to incomplete reporting. None of the evidence relating to our main outcomes was graded as high quality. The quality of evidence was downgraded due to missing information on trial methods, imprecision in risk estimates and heterogeneity. Eighteen of these studies compared the use of Doppler ultrasound of the umbilical artery of the unborn baby with no Doppler or with cardiotocography (CTG). One more recent trial compared Doppler examination of other fetal blood vessels (ductus venosus) with computerised CTG.The use of Doppler ultrasound of the umbilical artery in high-risk pregnancy was associated with fewer perinatal deaths (risk ratio (RR) 0.71, 95% confidence interval (CI) 0.52 to 0.98, 16 studies, 10,225 babies, 1.2% versus 1.7 %, number needed to treat (NNT) = 203; 95% CI 103 to 4352, evidence graded moderate). The results for stillbirths were consistent with the overall rate of perinatal deaths, although there was no clear difference between groups for this outcome (RR 0.65, 95% CI 0.41 to 1.04; 15 studies, 9560 babies, evidence graded low). Where Doppler ultrasound was used, there were fewer inductions of labour (average RR 0.89, 95% CI 0.80 to 0.99, 10 studies, 5633 women, random-effects, evidence graded moderate) and fewer caesarean sections (RR 0.90, 95% CI 0.84 to 0.97, 14 studies, 7918 women, evidence graded moderate). There was no comparative long-term follow-up of babies exposed to Doppler ultrasound in pregnancy in women at increased risk of complications.No difference was found in operative vaginal births (RR 0.95, 95% CI 0.80 to 1.14, four studies, 2813 women), nor in Apgar scores less than seven at five minutes (RR 0.92, 95% CI 0.69 to 1.24, seven studies, 6321 babies, evidence graded low). Data for serious neonatal morbidity were not pooled due to high heterogeneity between the three studies that reported it (1098 babies) (evidence graded very low).The use of Doppler to evaluate early and late changes in ductus venosus in early fetal growth restriction was not associated with significant differences in any perinatal death after randomisation. However, there was an improvement in long-term neurological outcome in the cohort of babies in whom the trigger for delivery was either late changes in ductus venosus or abnormalities seen on computerised CTG. AUTHORS' CONCLUSIONS: Current evidence suggests that the use of Doppler ultrasound on the umbilical artery in high-risk pregnancies reduces the risk of perinatal deaths and may result in fewer obstetric interventions. The results should be interpreted with caution, as the evidence is not of high quality. Serial monitoring of Doppler changes in ductus venosus may be beneficial, but more studies of high quality with follow-up including neurological development are needed for evidence to be conclusive.
[Mh] Termos MeSH primário: Monitorização Fetal/métodos
Gravidez de Alto Risco
Ultrassonografia Pré-Natal
Artérias Umbilicais/diagnóstico por imagem
Cordão Umbilical/diagnóstico por imagem
[Mh] Termos MeSH secundário: Cardiotocografia
Cesárea/utilização
Feminino
Seres Humanos
Trabalho de Parto Induzido/utilização
Mortalidade Perinatal
Gravidez
Ensaios Clínicos Controlados Aleatórios como Assunto
Natimorto/epidemiologia
Artérias Umbilicais/fisiopatologia
Cordão Umbilical/irrigação sanguínea
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD007529.pub4


  8 / 1798 MEDLINE  
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[PMID]:28524258
[Au] Autor:Thellesen L; Sorensen JL; Hedegaard M; Rosthoej S; Colov NP; Andersen KS; Bergholt T
[Ad] Endereço:Department of Obstetrics, Juliane Marie Center for Children, Women and Reproduction, Rigshospitalet University Hospital, University of Copenhagen, Copenhagen, Denmark.
[Ti] Título:Cardiotocography interpretation skills and the association with size of maternity unit, years of obstetric work experience and healthcare professional background: a national cross-sectional study.
[So] Source:Acta Obstet Gynecol Scand;96(9):1075-1083, 2017 Sep.
[Is] ISSN:1600-0412
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: We aimed to examine whether cardiotocography (CTG) knowledge, interpretation skills and decision-making measured by a written assessment were associated with size of maternity unit, years of obstetric work experience and healthcare professional background. MATERIAL AND METHODS: A national cross-sectional study in the setting of a CTG teaching intervention involving all 24 maternity units in Denmark. Participants were midwives (n = 1260) and specialists (n = 269) and residents (n = 142) in obstetrics and gynecology who attended a 1-day CTG course and answered a 30-item multiple-choice question test. Associations between mean test score and work conditions were analyzed using multivariable robust regression, in which the three variables were mutually adjusted. RESULTS: Participants from units with > 3000 deliveries/year scored higher on the test than participants from units with < 1000 deliveries/year (3000-3999 deliveries/year: mean difference 0.8, p < 0.0001; > 4000 deliveries/year: mean difference 0.5, p = 0.006). Participants with < 15 years of work experience scored higher than participants with > 15 years of experience (15-20 years of experience: mean difference - 0.6, p = 0.007; > 20 years experience: mean difference - 0.9, p < 0.0001). No differences were detected concerning professional background. CONCLUSIONS: CTG knowledge, interpretation skills and decision-making measured by a written assessment were positively associated with working in large maternity units and having < 15 years of obstetric work experience. This might indicate a challenge in maintaining CTG skills in small units and among experienced staff but could also reflect different levels of motivation, test familiarity and learning culture. Whether the findings are transferable to the clinical setting was not examined.
[Mh] Termos MeSH primário: Cardiotocografia/normas
Competência Clínica
Avaliação de Resultados (Cuidados de Saúde)
[Mh] Termos MeSH secundário: Estudos Transversais
Interpretação Estatística de Dados
Dinamarca
Avaliação Educacional
Feminino
Ginecologia/normas
Ginecologia/estatística & dados numéricos
Unidades Hospitalares/normas
Unidades Hospitalares/estatística & dados numéricos
Seres Humanos
Internato e Residência/normas
Internato e Residência/estatística & dados numéricos
Serviços de Saúde Materno-Infantil/normas
Serviços de Saúde Materno-Infantil/estatística & dados numéricos
Tocologia/normas
Tocologia/estatística & dados numéricos
Obstetrícia/normas
Obstetrícia/estatística & dados numéricos
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170520
[St] Status:MEDLINE
[do] DOI:10.1111/aogs.13171


  9 / 1798 MEDLINE  
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[PMID]:28438283
[Au] Autor:García González J; Ventura Miranda MI; Manchon García F; Pallarés Ruiz TI; Marin Gascón ML; Requena Mullor M; Alarcón Rodriguez R; Parron Carreño T
[Ad] Endereço:Nurse at Rafael Mendez Hospital, Lorca, Murcia, Spain; University of Lorca, Lorca, Murcia, Spain. Electronic address: jessyka_gg@hotmail.com.
[Ti] Título:Effects of prenatal music stimulation on fetal cardiac state, newborn anthropometric measurements and vital signs of pregnant women: A randomized controlled trial.
[So] Source:Complement Ther Clin Pract;27:61-67, 2017 May.
[Is] ISSN:1873-6947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Music has been used for medicinal purposes throughout history due to its variety of physiological, psychological and social effects. OBJECTIVE: To identify the effects of prenatal music stimulation on the vital signs of pregnant women at full term, on the modification of fetal cardiac status during a fetal monitoring cardiotocograph, and on anthropometric measurements of newborns taken after birth. MATERIAL AND METHOD: A randomized controlled trial was implemented. The four hundred and nine pregnant women coming for routine prenatal care were randomized in the third trimester to receive either music (n = 204) or no music (n = 205) during a fetal monitoring cardiotocograph. All of the pregnant women were evaluated by measuring fetal cardiac status (basal fetal heart rate and fetal reactivity), vital signs before and after a fetal monitoring cardiotocograph (maternal heart rate and systolic and diastolic blood pressure), and anthropometric measurements of the newborns were taken after birth (weight, height, head circumference and chest circumference). RESULTS: The strip charts showed a significantly increased basal fetal heart rate and higher fetal reactivity, with accelerations of fetal heart rate in pregnant women with music stimulation. After the fetal monitoring cardiotocograph, a statistically significant decrease in systolic blood pressure, diastolic blood pressure and heart rate in women receiving music stimulation was observed. CONCLUSION: Music can be used as a tool which improves the vital signs of pregnant women during the third trimester, and can influence the fetus by increasing fetal heart rate and fetal reactivity.
[Mh] Termos MeSH primário: Peso ao Nascer/fisiologia
Pressão Sanguínea/fisiologia
Frequência Cardíaca Fetal/fisiologia
Musicoterapia/métodos
[Mh] Termos MeSH secundário: Adulto
Índice de Apgar
Tamanho Corporal/fisiologia
Cardiotocografia
Feminino
Monitorização Fetal
Frequência Cardíaca/fisiologia
Seres Humanos
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170426
[St] Status:MEDLINE


  10 / 1798 MEDLINE  
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[PMID]:28392944
[Au] Autor:Euliano TY; Darmanjian S; Nguyen MT; Busowski JD; Euliano N; Gregg AR
[Ad] Endereço:Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USA; Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, FL, USA.
[Ti] Título:Monitoring Fetal Heart Rate during Labor: A Comparison of Three Methods.
[So] Source:J Pregnancy;2017:8529816, 2017.
[Is] ISSN:2090-2735
[Cp] País de publicação:Egypt
[La] Idioma:eng
[Ab] Resumo:The purpose of the study was to compare the accuracy of a noninvasive fetal heart rate monitor with that of ultrasound, using a fetal scalp electrode as the gold standard, in laboring women of varying body habitus, throughout labor and delivery. Laboring women requiring fetal scalp electrode were monitored simultaneously with the investigational device (noninvasive fetal ECG), ultrasound, and fetal scalp electrode. An algorithm extracted the fetal heart rate from the noninvasive fetal ECG signal. Each noninvasive device recording was compared with fetal scalp electrode with regard to reliability by positive percent agreement and accuracy by root mean squared error. Seventy-one women were included in this analysis. Positive percent agreement was 83.4 ± 15.4% for noninvasive fetal ECG and 62.4 ± 26.7% for ultrasound. The root mean squared error compared with fetal scalp electrode-derived fetal heart rate was 4.8 ± 2.0 bpm for noninvasive fetal ECG and 14.3 ± 8.2 bpm for ultrasound. The superiority of noninvasive fetal ECG was maintained for stages 1 and 2 of labor and increases in body mass index. Compared with fetal scalp electrode-derived fetal heart rate, noninvasive fetal ECG is more accurate and reliable than ultrasound for intrapartum monitoring for stages 1 and 2 of labor and is less affected by increasing maternal body mass index. This confirms the results of other workers in this field.
[Mh] Termos MeSH primário: Cardiotocografia/métodos
Frequência Cardíaca Fetal/fisiologia
Trabalho de Parto/fisiologia
[Mh] Termos MeSH secundário: Adulto
Eletrocardiografia
Feminino
Seres Humanos
Gravidez
Reprodutibilidade dos Testes
Couro Cabeludo
Ultrassonografia Doppler
Contração Uterina/fisiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170411
[St] Status:MEDLINE
[do] DOI:10.1155/2017/8529816



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