The clinical analysis of umbilical blood flow and fetal heart monitoring and perinatal outcomes / 中国基层医药

ABSTRACT

Objective To investigate the value of fetal heart monitoring combined with umbilical blood flow for the prediction of perinatal outcome.Methods 2200 women with pregnancy for 26 to 42 weeks were given the detection of S/D value of fetal umbilical artery blood flow and Non Stress Test(NST) of fetal heart monitoring,and the relationship between the NST,S/D and prediction of perinatal outcome.Results When the S/D value ＜3,perinatal anmiotic fluid shortage,amniotic fluid pollution,newborn children hypoxia asphyxia,newborn child deformity and the probability of death were significantly less than S/D ≥ 3(x2 =15.61,6.2.4,12.38,9.73,5.77,all P ＜ 0.05);when the NST ＞7,the probability of adverse perinatal outcome was significantly less than the NST≤7(x2 =4.54,4.12,5.89,5.94,8.10,all P ＜ 0.05).Conclusion The fetal umbilical artery blood flow monitoring and fetal heart monitor could improve the accuracy of prediction of perinatal outcome,avoid the defects of a single method of monitoring,early and timely diagnose the fetal distress,and give reasonable treatment to reduce neonatal mortality.