المراقبة الإلكترونية لقلب الجنين في أثناء المخاض
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:
- Wake\sleep index and Apgar score
- 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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