FETAL ACTIVITY ACCELERATION DETERMINATION FOR EVALUATION OF FETAL RESERVE

  • 1 January 1976
    • journal article
    • research article
    • Vol. 48  (1) , 19-26
Abstract
Fetal activity acceleration determination (FAD) was performed 462 times on a total of 410 patients for the evaluation of fetal reserve. Simultaneous oxytocin challenge test (OCT) was performed 324 times to evaluate the correlation between the 2 tests. In 308 instances, FAD was positive and OCT was either negative or probably negative. In 2 cases with inadequate FAD results the simultaneous OCT was suspicious and positive. In 4 instances of negative FAD the simultaneous OCT was positive. The correlation between the 2 tests was excellent. The outcome of all cases with positive FAD was also excellent. The positive FAD provides reassurance of fetal well-being. Only the inadequate or negative FAD requires the performance of an OCT for further evaluation of the fetal condition. [Accurate evaluation of fetal well-being and maturity is essential in the management of high-risk pregnancies which frequently require preterm delivery from an unfavorable or hostile intrauterine environment.].

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