The combination of computerized cardiotocography and amniotic fluid index for the prediction of neonatal acidemia at birth: a modified biophysical profile.

The Journal of maternal-fetal medicine Pub Date : 2001-10-01 DOI:10.1080/714052769

J. Piazze, M. Anceschi, A. Berretta, S. Vitali, L. Maranghi, F. Amici, E. Cosmi

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引用次数: 2

Abstract

Objective: To study the combination of computerized cardiotocography (cCTG) and the amniotic fluid index (AFI) in the prediction of neonatal acidemia at birth. Methods: A total of 89 singleton third-trimester high-risk pregnancies delivered by Cesarean section, with an AFI evaluated within 24 h from birth, and an antepartum cCTG performed within 6 h from delivery, were studied. The score was the sum of values for AFI (oligo/anhydramnios = 1, normal = 0) and cCTG (Dawes-Redman criteria, not met = 1, met = 0). The endpoint was to predict an abnormal neonatal outcome as defined by an umbilical artery pH of h 7.2. Results: Fifteen neonates had an umbilical artery pH of < 7.2. The combination of cCTG + AFI score was able to predict pH values ( h 7.20) with an OR = 2.83 ( p < 0.02). The diagnostic accuracy of the combination of cCTG + AFI was as follows: sensitivity 80%, specificity 58%, positive predictive value 28%, negative predictive value 83%. Comment: We suggest that the cCTG + AFI score may be of...

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结合计算机心电图和羊水指数预测新生儿出生时酸血症:一种改良的生物物理剖面。

目的:探讨计算机心脏造影(cCTG)与羊水指数(AFI)联合预测新生儿出生时酸血症的价值。方法:对89例剖宫产妊娠晚期高危单胎患者进行研究，这些患者在出生后24小时内进行AFI评估，并在分娩后6小时内进行产前cCTG检查。得分为AFI(羊水少/无= 1，正常= 0)和cCTG (Dawes-Redman标准，不符合= 1，符合= 0)的值之和。终点是通过脐动脉pH值h7.2来预测新生儿的异常结局。结果:15例新生儿脐动脉pH < 7.2。cCTG + AFI评分联合预测pH值(h 7.20)， OR = 2.83 (p < 0.02)。cCTG + AFI联合诊断准确率:敏感性80%，特异性58%，阳性预测值28%，阴性预测值83%。评论:我们认为cCTG + AFI分数可能是…

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The Journal of maternal-fetal medicine

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