Variable decelerations in reactive nonstress tests with decreased amniotic fluid index predict fetal compromise

Iffath A. Hoskins, Faith J. Frieden, Bruce K. Young

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

A total of 3158 patients at ≥34 weeks' gestation undergoing nonstress tests and amniotic fluid index determinations were divided into six groups according to the amniotic fluid index and the nature of the decelerations. Fetuses with antepartum decelerations had statistically significantly increased incidences of intrapartum decelerations and operative deliveries because of intrapartum "distress," regardless of the amniotic fluid index. They also had significantly increased rates of neonatal acidosis and low Apgar scores when there were "severe" decelerations and an amniotic fluid index <5 in the antepartum period. Thus spontaneous decelerations in reactive nonstress tests with an amniotic fluid index <5 may predict fetal compromise.

Original languageEnglish
Pages (from-to)1094-1098
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Volume165
Issue number4 PART 1
DOIs
StatePublished - Oct 1991
Externally publishedYes

Keywords

  • Antepartum decelerations
  • fetal compromise
  • oligohydramnios

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