COMMENTS OF FETAL HEART RATE CHART DURING THE LABOR AT THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, NGHE AN PEDIATRICS AND OBSTETRICS HOSPITAL
Main Article Content
Abstract
Objectives: Describe normal and abnormal fetal heart rate charts in labor and the infant status of
such cases.
Subjects-methods: Cross-sectional description 1035 women with a gestational age of 36 weeks or
more in labor receive obstetric monitoring at Nghe An Obstetrics and Pediatrics Hospital.
Result: 212 cases had abnormal fetal heart rate charts, of which 19.8% of newborns had an Apgar
index < 7 points. When the types of fetal heart rate decrease combined with the 0 fluctuations, the
percentage of babies born with Apgar index < 7 points increased from 18.66 to 63.86 times. Cesarean
section treatment had the highest rate of 63.48%. The percentage of infants with an Apgar index <
7 was lowest in the vaginal delivery group at 16.67% and the highest in the Forceps delivery group
at 24.39%.
Conclusions: When evaluating a fetal heart rate chart, it is necessary to comprehensively evaluate
many factors in combination to be able to diagnose fetal distress and have an appropriate treatment
plan.
Article Details
Keywords
Continuous fetal heart rate chart.
References
trong sản khoa”, Nhà xuất bản Y học, Hà Nội,
2005.2. P.Rozenberg, Le monitorage obstetrical,
Mason, 1991.
[2] Freeman RK, Garite TJ, Nageotte MP, “Fetal
Heart Rate Monitoring”, Lippincott Williams &
Wilkins, 3rd, pp.64-89, 2003.
[3] Cabaniss L, Fetal monitoring interpretation. J.B.
Lippincott Company Philadelphia, 250, 2007.
[4] Thoulon JM, “Le monitorage au cours du travail:
comment surveiller un accouchement 25 ans
apris l’institution du monitorage”, J Gynecol
Obstet Biol Reprod Vol27: 577 – 583, 1998.
[5] Ngô Thị Uyên, “Giá trị của theo dõi Monitoring
bất thường trong chẩn đoán suy thai”, Luận văn
thạc sĩ Y học, Trường ĐH Y Hà Nội, 2004.
[6] Sameshima, “Unselected low-risk pregnancies
and the effect of continuous intrapatum fetal heart
rate monitoring on umbilical blood gases and
cerebralpalsy”, American Journal of Obstetrics
and Gynecology, Vol 190: 1, 2004.
[7] Althabel O, “Effects on fetal heart rate and fetal
P02 of oxygen administration to the mother” Am
J Obstet Gynecol 98:858.
[8] Đỗ Văn Tụ, “Nhận xét tình hình ca đỡ đẻ – giác
hút tại khoa sản bệnh viện Bạch Mai 5 năm 1998-
2002”, Luận án tiến sĩ y học, 2003.