المراقبة الإلكترونية لقلب الجنين في أثناء المخاض

Authors

  • أحمد يوسف
  • رئيفة مرعي
  • حنان سلطان

Abstract

تضمنت الدراسة 150 ماخضاً , و تم تقييم حالة الجنين باستخدام :

1-      أبغار الوليد في الدقيقة الأولى و الدقيقة الخامسة.

2-      تخطيط قلب الجنين أثناء المخاض .

3-      معايرة غازات الدم عند الوليد ( PH , PCO2 , PO2 , BE).

و كانت النتائج كالتالي :

1- وجود علاقة عكسية هامة بين :

أ‌-     مشعر اليقظة / النوم  و علامة أبغار .

ب‌-  ب - مشعر اليقظة / النوم و غازات الدم .

2- إن مشعر النوم / اليقظة المعكوس ≥ 2, التباطؤات من نمط DIP II  , DIPIII اللانموذجية , وغياب الترددية ( حيث الشدة و التكرارية أقل من 3 ) تنبأت بتألم الجنين .

3- إن مشعر اليقظة / النوم ≥ 2 ,التباطؤات  DIP III , و الترددية المتوسطة ( حيث الشدة والتكرارية بين 3-5 )  كانت علامات غير مطمئنة لحالة الجنين .

In this study, 150 parturients have been included. Fetal state has been evaluated by the following methods:

1-Apgar score at 1th and 5th minutes;

2-Intrapartum fetal heart rate monitoring;

3- Neonatal blood gas parameters ( PH, PCO2, PO2, BE).

The results were as following:

1.An important adverse relation exists between:

  1. Wake\sleep index and Apgar score
  2. Wake\sleep index and blood gas parameters.

2.Appearance of reverse sleep\wake index ≥2, DIPII, atypical DIPIII, and silent variability (where amplitude and frequency less than 3) were predictable of fetal distress.

3.Appearance of wake\sleep index ≥2, DIPIII, and median variability (where amplitude and frequency between 3-5) were warning signals of fetal distress.

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Published

2019-01-20

How to Cite

1.
يوسف أ, مرعي ر, سلطان ح. المراقبة الإلكترونية لقلب الجنين في أثناء المخاض. Tuj-hlth [Internet]. 2019Jan.20 [cited 2024Apr.28];32(4). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6732

Issue

Vol. 32 No. 4 (2010): العلوم الصحية

Section

Articles

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