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Information Journal Paper

Title

COMPARISON OF LATE SECOND-TRIMESTER NON-STRESS TEST CHARACTERISTICS BETWEEN SMALL FOR GESTATIONAL AGE AND APPROPRIATE FOR GESTATIONAL AGE FETUSES

Pages

  156-165

Keywords

FETAL HEART RATE MONITORING (FRH)Q4
ELECTRONIC FETAL HEART RATE MONITORING (EFM)Q4
APPROPRIATE FOR GESTATIONAL AGE (AGA)Q4
SMALL FOR GESTATIONAL AGE (SGA)Q4

Abstract

 Background: The purpose of this study was to compare electronic fetal heart rate monitoring (EFM) characteristics between Appropriate for Gestational Age (AGA ) and Small for Gestational Age (SGA) fetuses and to determine whether SGA fetuses have specific abnormalities.Materials and Methods: Among children born from Apr 2002 to Mar 2003 in Arash hospital, we identified 300 singleton infants born after 36 weeks gestation of uncomplicated pregnancies in whom second-trimester (24-27 weeks gestation) EFM records were obtained. Individual components of fetal heart rate (FHR) pattern; baseline rate, baseline FHR variability, presence of acceleration and periodic and episodic deceleration, and birth characteristics were compared between AGA and SGA infants or between pregnancies with or without second-trimester decelerations. Statistical analysis was performed using Student t, Chi square and Fisher exact test.Results: Among 300 infants, 261 (87%) were AGA and 39 (13%) were SGA; 65 had and 235 did not have second-trimester decelerations. Baseline FHR variability, second- trimester decelerations and intrapartum FHR decelerations were significantly higher in SGA fetuses than in AGA fetuses (P<0.05). Birth weight and gestational age were significantly lower in SGA fetuses than in AGA fetuses (P<0.05). There were no significant differences in baseline rate and acceleration ,maternal age and parity, Apgar score in 1 minute, meconium staining, mode of delivery, NICD admission, between SGA and AGA infants. Small for Gestational Age infants were more frequent in pregnancies with second-trimester decelerations compared with those without second-trimester deceleration (P<0.05). Baseline FHR variability in pregnancies with second-trimester decelerations was significantly higher than in pregnancies without second-trimester deceleration (P<0.05).Conclusion: Periodic or episodic decelerations and increased FHR variability during late second-trimester EFM were associated with an increased risk of SGA infant.

Cites

References

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APA: Copy

BEIGY, A., & SALAVATI, J.. (2004). COMPARISON OF LATE SECOND-TRIMESTER NON-STRESS TEST CHARACTERISTICS BETWEEN SMALL FOR GESTATIONAL AGE AND APPROPRIATE FOR GESTATIONAL AGE FETUSES. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 62(2), 156-165. SID. https://sid.ir/paper/39613/en

Vancouver: Copy

BEIGY A., SALAVATI J.. COMPARISON OF LATE SECOND-TRIMESTER NON-STRESS TEST CHARACTERISTICS BETWEEN SMALL FOR GESTATIONAL AGE AND APPROPRIATE FOR GESTATIONAL AGE FETUSES. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2004;62(2):156-165. Available from: https://sid.ir/paper/39613/en

IEEE: Copy

A. BEIGY, and J. SALAVATI, “COMPARISON OF LATE SECOND-TRIMESTER NON-STRESS TEST CHARACTERISTICS BETWEEN SMALL FOR GESTATIONAL AGE AND APPROPRIATE FOR GESTATIONAL AGE FETUSES,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 62, no. 2, pp. 156–165, 2004, [Online]. Available: https://sid.ir/paper/39613/en

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