Abstract
A prospective study was conducted at Kamla Nehru Hospital, I.G.M.C, Shimla on 100 women with one more signs of fetal distress like abnormal fetal movement perception by mother, meconium staining of amniotic fluid and fetal heart rate abnormality. Neonatal outcome was observed in relation to fetal distress at one and five minutes APGAR score. Neonates were found more asphyxiated in extremes of maternal age i.e. <20 years and >30 years, in unbooked cases, in primigravida and gravida>3 and with increasing period of gestation (POG). Neonatal outcome was poor in low birth weight babies.
References
- Eden RD, Seifert LS, Winegar A, Spellacy W.: Perinatal characteristics of uncomplicated post date pregnancies. Obstet. Gynaecol 1987;69:296.
- Usher RH, Boyd ME, Mclean FH, Kramer MS: Assessment of fetal risk in post date pregnancies. Am J. Obstet. Gynaecol. 1988;158:259.
- J. Steer, F. Eigbe, T.J. Liussauer and R.W. Beard: Obstet. Gynaecol 1989;74: 715-21.
- Katz VL, Bowes WA: Meconium aspirations, Reflections on a murky subject. Am. J. Obstet. Gynaecol. 1992; 166:171.
- Leveno KJ, Quirck JG, Cunningham FG, Nelson SD, Santosh RR, Toofanian A, DePalma RT: Prolonged pregnancy observation concerning cause of fetal distress. Am. J. Obstet. Gynaecol. 1984; 150:465-73.
- Bakketeig L, Bergsjo P: Post-term pregnancy magnitude of the problem. In Chalmerl, Enkin M. Keirse MJNC, eds.: Effective care in pregnancy and child birth, Vol. I. Oxford: Oxford University Press,1989;pp.765-775.
- Cunningham F.G, Leveno K.J.: Child bearing among older women. The message is continuously optimistic (editorial comment). N Engl. J Med.1995;333:1002.
- Russ JD. Strong A.R: Asphyxia of the new born infant 1946;5:643-651.
- Ciblis L.A.: Clinical significance of fetal heart rate patterns during labour II.Late decelerations. Am. J. Obstet. and Gynaecol;1971;127:473-494.
- Apgar V. A proposal for a new method of evaluation of the newborn infant. Curr. Res. Anesth Analg 1953:32:260.
- Narula S.: Study of fetal distress-Determinants and outcome,68:1992.
- Prasun Kumar Pal and Jagbandhu Mitra: Clinical study on fetal hypoxia in relation to caesarean section. Journal of Obstet. And Gynaecol. India 1986;Vol-XXXVI No.5:822-826.
- Pradip Sambarey and Vaishali Shinde: Diagnosis and management of fetal distress in labor. Journal Obstet and Gynaecol of India;1995;Vol.45,No.6:702-707.
Corresponding Author
Dr Amod Kumar Singh
Associate Professor, Department of Obstetrics & Gynaecology, Dr. Y.S.P. Govt. Medical College, Nahan, H.P, India