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Maternal cardiovascular function and risk of intrapartum fetal compromise in women undergoing induction of labor: Pilot study

Ultrasound in Obstetrics & Gynecology Jul 15, 2020

Kalafat E, Barratt I, Nawaz A, et al. - Researchers conducted a prospective cohort study recruiting 99 women undergoing induction of labor (IOL) in order to determine the predictive accuracy of maternal hemodynamics for the risk of operative delivery due to presumed fetal compromise in these women. Exclusion was performed of four women from the analysis due to semi‐elective Cesarean section ( = 2) and failed IOL ( = 2). Operative delivery rate of 28.4% (27/95) was reported due to presumed fetal compromise. Findings from this pilot study suggest the possible value of prelabor maternal cardiovascular assessment in women undergoing IOL for assessing the risk of intrapartum fetal compromise necessitating operative delivery. Significant improvement in the predictive accuracy of the baseline antenatal model was observed with the addition of stroke volume index, systemic vascular resistance (SVR) or SVR index.

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