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The predictive value of cardiotocography.

Continuous fetal heart rate (FHR) recordings from 200 parturients in first stage of labour were evaluated according to conventional systems and compared with the Apgar scores at one minute. The results were disappointing, but they indicate that an improvement could be achieved by taking into consideration the periodical total uterine impulse (TUI) in the first stage of labour.

Apgar Score↗

[Evaluation of foetal movement by antenatal cardiotocography (author's transl)].

The part played by cardiotocographically recordable foetal movements was studied. The totality of all cardiotocographically, that is objectively, foetal movements together with all movements perceived, subjectively, by the pregnant women concerned was used as reference value. - A HP-2100S computer was used in on-line evaluation. Those foetal movements perceived by the women concerned were fed into the computer by keyboard input. - Two thirds of all foetal movements were recorded both ways, at one and the same time. A total of 9.1 per cent was not confirmed by the probands, while 27.4 per cent were perceived only by the probands. A total of 72.6 per cent of all foetal movements was recorded by the cardiotocograph, while 80.9 per cent were perceived by the women involved. - Hence, there should be no clinical objection to non-stress testing, but the above data should be taken into account. - As soon as subjectively perceived foetal movements can be objectively marked, the question should be asked for possible superiority of such human perception over tocometry.

Computers↗

[Can cardiotocography provide information regarding fetal death in utero? Casuistic (author's transl)].

A case of fetal death in utero is discussed in which fetal heart tones were picked up with the cardiotocograph via direct leads from the scalp electrode during labor induction, i.e., during the course of labor. After delivery, however, it was apparent that the fetus had been dead for some time (third grade maceration). Technical errors originating in the instrument itself could be excluded since the instrument was used successfully for other deliveries before and after this particular birth. A defect caused by the scalp electrode was also not possible since the electrode was changed three times.

Adult↗

[Comparative studies of the value of impulse-reception methods of prenatal cardiotocography].

102 pregnant womens have been controlled by means of the various three methods of the antenatal CTG (phonocardiography, ultrasonography and indirect fetal ECG) between the 22th to 41th week. The registered time for each method was ten minutes. Between the 27th to 33th week of the pregnancy the ultrasonography gives the best results. The phonocardiography gives after the 32th week, especially after the 37th week, increasing technical unobjectionable tachograms. There was a good tachografic performans between the 22th to 27th week and after the 35th week by means of indirect fetal ECG. Between the 27th and 34th week this method refuses. The interpretation of indirect fetal ECG or phonocardiotocography, if they are possible, shows clear advantages in antenatal diagnostic of fetal condition.

Echocardiography↗

[Ultrasound diagnoses and cardiotocography in case of full-time carried intraligamentous gravidity (author's transl)].

Description of the course of disease concerning an intraligamentous pregnancy carried to full term, but diagnosed only during operation. Subsequent evaluation of the ultrasonic and cardiotocologic graphs. Constantly rectilinear pressure curves without uterine activities are interpreted as characteristic tocographic criteria of an advanced ectopic gravidity.

Adnexa Uteri↗