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Obstetrics & Gynecology 1984;63:233-236
© 1984 by The American College of Obstetricians and Gynecologists
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Fetal Acidosis and the Abnormal Fetal Heart Rate Tracing: The Term Breech Fetus

BONNIE EILEN, MD, ADIEL FLEISCHER, MD, HAROLD SCHULMAN, MD and NASEEM JAGANI, MD

From the Department of Gynecology and Obstetrics, Albert Einstein College of Medicine of Yeshiva University, Bronx, New York

Abstract

The intrapartum fetal heart rate tracings of 27 term fetuses breech presentation were analyzed to evaluate their immediate neonatal outcome. The tracings were quantitatively evaluated for comparison with Apgar scores and umbilical cord gases at delivery. Of the 27 cases, 12 had monitoring strips that scored 4 or less before birth. The p50 for acidosis at delivery (an umbilical artery pH of 7.25 or less) was minutes for an intrapartum tracing that scored 4 or less. Fetuses with intrapartum tracings scoring 8 or more throughout labor had normal Apgar scores and cord gases. In comparing the present data with those of a previous study vertex presentations, the authors found that given similar tracings, the breech fetus deteriorates more rapidly than the vertex fetus. Cesarean section is recommended if delivery is not imminent in a laboring breech and the intrapartum tracing deteriorates to score 4 or less.






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Copyright © 1984 by the American College of Obstetricians and Gynecologists.