ΤΗΕ EFFECT OF INTRAVENOUS STIMULATION OF GLUCOSE ΤΟ ΤΗΕ FETAL-PLACENTAL UNIT DURING LABOUR
Abstract
Fetal response to stimulation after intravenous infusion of glucose solution during labour was studied in 50 pregnant women aged between 18 and 40 (38-42 weeks of gestation). The investigation of the fetal reaction was carried out with internal heart monitoring and the assessment of the umbilical artery pH and the Apgar scores. Conversely the negative response to the reaction was associated, to a great extent, with suspicious and abnormal values of the above parameters. The obstetric intervention rate with use of either Cesarean section or Vacuum extraction in the group of those pregnant women with a negative response to stimulation was high.References
Read JA, Miller FC: Fetal heart rate acceleration in response to acoustic stimulation as a measure of fetal well-being. Am J Obstet Gynecol. 1977; 129:512-7.
Smith CV, Phelan JP, Pauk Rh, Broussard Ρ: Fetal acoustic stimulation test. Am J Obstet Gynecol 1985; 153:567-8.
Serafini Ρ, Lindsay MBJ, Nagey DA, et al.: Anteparturn fetal heart rate response to sound stimulation: the acoustic stumulation test. Am J Obstet Gynecol 1984;148:41.
Jensen OH: Fetal heart rate response to a controlled sound stimulus as a measure of fetal well-being. Acta Obstet Gynecol Scand 1984;63:97.
Ohel G, Birkenfeld Α, Rabinowitz R, Sadovsky Ε.: Fetal response to vibratory acoustic stimulation in periods or low heart rate reactivity and lοw activity. Am J Obstet Gynecol 1986; 154:619-21.
Cagnon R, Hunse C and Patrick J: Fetal responses to vibratory acoustic stimulation. Influence of basal heart rate. Am J Obstet Gynecol 1988;159:835-9
Ingemarsson Ι, Arulkumaran S, Paul HR, Ingemarsson Ε, Rambyraja LR, and Ratman SS: Fetal acoustic stimulation in early labour in patients screened with the admission test. Am. J. Obstet Gynecol. 1988; 150:70 4.
Γ. Γαλάζιος, Ν. Νικολέτος, Χ. Νταντίδου, Π. Αvαστασιάδης: Μεταβολές του καρδιοτοκογράμματος μετά από ακουστική διέγερση του εμβρύου σε τελειόμηνες φυσιολογικές κυήσεις. Ιατρικά Χρονικά 1989, Τόμος ΙΒ, Τεύχος 12, Σελ. 1064-1066.
Γ. Γαλάζιος, Π. Κελεσίδης, Πλ. Διαμαντόπουλος, Ε. Παπαστεργής, Π. Αvαστασιάδης: pH ομφαλικής αρτηρίας και Apgar scores σε σχέση με ακουστική διέγερση του εμβρύου. Πρακτικά 5ου Βορειοελλαδικού Ιατρικού συνεδρίου. 1991, Σελ. 869-872.
Ohel G, Simon Α, Beyth Υ, Sadovsky Ε.: Intraparturn vibroacoustic stimulation in cases of normal and abnormal fetal heart rate pattems. Gynecol Obstet Invest 1986;21:1-5.
Devoe LD, Murray C, Faircloth D and Ramos Ε: Vibroacoustic stimulation and fetal behavioral state in normal term human pregnancy. Am J Obstet Gynecol 1990; 163:1156-61.
Nyman Μ. Arulkumaran S, Hsu TS, Ratman SS, Till Ο, Westgren Μ.: Vibroacoustic stimulation and intrauterine sound pressure levels. Obstet Gynecol 1991 ;78:803-6.
Daniel ΡΕ. Robinson J L and Neuman BR: Position of the vibroacoustic stimulator does not affect fetal response. Am J Obstet Gynecol 1992; 167:1137-9.
Romero R, Mazor Μ, Hobbins JC: Α critical appraisal of fetal acoustic stimulation as an antenatal test for fetal well-being. Obstet Gynecol 1988; 71:781-6.
