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Diagnosing antenatal fetal distress
, 2
Affiliations- Kharkiv medical academy of postgraduate education, Amosov 58, 61070 Kharkiv, Ukraine
- Erzincan Binali Yildirim University Mengucek Gazi Training and Research Hospital, Department of Gynecology and Obstetrics, Turkey
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Abstract
Objectives: The values of acceleration capacity and deceleration capacity are known to capture fetal neurological development. The fetal growth restriction was found to be featured by decreased variables of phase rectified signal averaging. We have speculated that acceleration capacity and deceleration capacity could be of use in the detection of antenatal fetal distress during fetal growth restriction. The study was focused on the detection of the accuracy of acceleration capacity and deceleration capacity in diagnosing fetal distress.
Material and methods: In total, 124 pregnant women at 26–36 weeks of gestation were included in the study. The patients with appropriate to gestational age fetuses (n = 32) were enrolled in Group I. The patients with fetal growth restriction and an absence of fetal distress (n = 48) were observed in Group II. Lastly, the patients with fetal growth restriction and fetal distress (n = 44) were included in Group III. Fetal cardiosignals were obtained via non-invasive fetal electrocardiography. The maximally decreased acceleration capacity and deceleration capacity values were found in Group III.
Results: A correlation was found between umbilical artery resistance index and acceleration capacity and deceleration capacity variables in all study groups. We have found that the application of phase rectified signal averaging in the antenatal period showed high sensitivity and specificity in fetal distress detection.
Conclusions: Fetal acceleration capacity and deceleration capacity is a prospective option for the detection of fetal compromise during fetal growth restriction.
Abstract
Objectives: The values of acceleration capacity and deceleration capacity are known to capture fetal neurological development. The fetal growth restriction was found to be featured by decreased variables of phase rectified signal averaging. We have speculated that acceleration capacity and deceleration capacity could be of use in the detection of antenatal fetal distress during fetal growth restriction. The study was focused on the detection of the accuracy of acceleration capacity and deceleration capacity in diagnosing fetal distress.
Material and methods: In total, 124 pregnant women at 26–36 weeks of gestation were included in the study. The patients with appropriate to gestational age fetuses (n = 32) were enrolled in Group I. The patients with fetal growth restriction and an absence of fetal distress (n = 48) were observed in Group II. Lastly, the patients with fetal growth restriction and fetal distress (n = 44) were included in Group III. Fetal cardiosignals were obtained via non-invasive fetal electrocardiography. The maximally decreased acceleration capacity and deceleration capacity values were found in Group III.
Results: A correlation was found between umbilical artery resistance index and acceleration capacity and deceleration capacity variables in all study groups. We have found that the application of phase rectified signal averaging in the antenatal period showed high sensitivity and specificity in fetal distress detection.
Conclusions: Fetal acceleration capacity and deceleration capacity is a prospective option for the detection of fetal compromise during fetal growth restriction.
Keywords
fetal growth restriction; fetal non-invasive electrocardiography; acceleration capacity and deceleration capacity; fetal distress
About this articleTitle
Diagnosing antenatal fetal distress
Journal
Issue
Article type
Research paper
Pages
54-56
Published online
2021-05-14
Page views
6880
Article views/downloads
1214
DOI
Pubmed
Bibliographic record
Ginekol Pol 2022;93(1):54-56.
Keywords
fetal growth restriction
fetal non-invasive electrocardiography
acceleration capacity and deceleration capacity
fetal distress
Authors
Igor Victorovich Lakhno
Kemine Uzel
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