Ceska gynekologie · 2004
[Influence of antenatal administration of corticoids on heart activity--case report].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Verner M, Krofta L
Аннотация
OBJECTIVE: to draw attention to possible influencing of cardiotocographic recording of antenatal administration of corticoids, on the use of Doppler ultrasonographic parameters in the diagnostics of hypoxia-endangered fetus.
DESIGN: Case report.
SETTING: Mother and Child Care Institute of Prague.
METHOD: Case report.
CONCLUSION: Antenatal administration of corticoids is presently an inherent part of therapeutic management of premature delivery. This administration significantly diminishes morbidity and mortality of immature newborns. Nevertheless, their administration results in changing intrauterine behavior of the fetus and his/her heart activity. These changes may be mistakenly diagnosed as signs of evolving hypoxia. For the evaluation of acute condition of the fetus and obtaining help in decision making how the further management of delivery should be done, Doppler ultrasonographic examination of maternal, fetus-maternal and fetal circulation may prove useful.
DESIGN: Case report.
SETTING: Mother and Child Care Institute of Prague.
METHOD: Case report.
CONCLUSION: Antenatal administration of corticoids is presently an inherent part of therapeutic management of premature delivery. This administration significantly diminishes morbidity and mortality of immature newborns. Nevertheless, their administration results in changing intrauterine behavior of the fetus and his/her heart activity. These changes may be mistakenly diagnosed as signs of evolving hypoxia. For the evaluation of acute condition of the fetus and obtaining help in decision making how the further management of delivery should be done, Doppler ultrasonographic examination of maternal, fetus-maternal and fetal circulation may prove useful.