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Nonreassuring fetal heart rate: C-sections, poor perinatal outcomes in IUGR linked.(Obstetrics)
PHOENIX -- Neonates with intrauterine growth restriction who are delivered by cesarean section for nonreassuring fetal heart rate patterns are at increased risk for adverse perinatal outcomes, Dr. Kara Coassolo reported in a poster session at the annual meeting of the American Institute of Ultrasound in Medicine.
"We may be able to tell moms that babies who are delivered for that reason are at an increased risk for complications later. The need for cesarean delivery [in cases of nonreassuring fetal heart rate patterns] may be a marker for adverse perinatal outcomes," said Dr. Coassolo of the department of obstetrics and gynecology at the University of Pennsylvania, Philadelphia.
Dr. Coassolo and her associates conducted a retrospective cohort study of 865 cases of intrauterine growth restriction (IUGR) in the department over a 5-year period. IUGR was defined as a birth weight below the 10th percentile for gestational age.
Of the 865 infants, 128 (15%) were delivered for nonreassuring fetal heart rate patterns. Investigators compared the clinical outcomes of this group with a control group, which consisted of 737 IUGR fetuses delivered vaginally or by cesarean section for another indication.
Univariate analysis revealed that ...
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