Biomaterial Database

Continuing experience with the fetal acoustic stimulation test. 1988

C V Smith, and J P Phelan, and H N Nguyen, and N Jacobs, and R H Paul

Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles.

Antepartum fetal heart rate testing remains a useful method with which to assess fetal well-being in high-risk pregnancies. Recently the adjunctive use of transabdominal acoustic stimulation was proven effective in reducing the number of nonreactive nonstress tests (NSTs) without changing the predictive reliability of the test. Our continuing experience with this method involved 1,503 women undergoing 3,935 tests. A reactive test occurred in 93%, and the fetal death rate was 1.3/1,000. In an attempt to evaluate the incidence of mortality in a large population, data from the current investigation were pooled with those from other reports from our institution. In our aggregate experience of 7,763 tests, fetal death occurred within seven days of a reactive test with an incidence of 1.9/1,000 in patients receiving acoustic stimulation. This finding contrasts favorably with a death rate of 1.6/1,000 in fetuses with spontaneous reactivity. Fetal acoustic stimulation testing seems to offer advantages over the more traditional NST, and the predictive values of normal tests seem to be equivalent.

UI	MeSH Term	Description	Entries
D011247	Pregnancy	The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.	Gestation,Pregnancies
D011296	Prenatal Diagnosis	Determination of the nature of a pathological condition or disease in the postimplantation EMBRYO; FETUS; or pregnant female before birth.	Diagnosis, Prenatal,Fetal Diagnosis,Fetal Imaging,Fetal Screening,Intrauterine Diagnosis,Antenatal Diagnosis,Antenatal Screening,Diagnosis, Antenatal,Diagnosis, Intrauterine,Prenatal Screening,Antenatal Diagnoses,Antenatal Screenings,Diagnosis, Fetal,Fetal Diagnoses,Fetal Imagings,Fetal Screenings,Imaging, Fetal,Intrauterine Diagnoses,Prenatal Diagnoses,Prenatal Screenings,Screening, Antenatal,Screening, Fetal,Screening, Prenatal
D005260	Female		Females
D005323	Fetal Monitoring	Physiologic or biochemical monitoring of the fetus. It is usually done during LABOR, OBSTETRIC and may be performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as when the mother is undergoing surgery.	Monitoring, Fetal,Fetal Monitorings,Monitorings, Fetal
D005865	Gestational Age	The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated from the onset of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization. It is also estimated to begin from fertilization, estrus, coitus, or artificial insemination.	Embryologic Age,Fetal Maturity, Chronologic,Chronologic Fetal Maturity,Fetal Age,Maturity, Chronologic Fetal,Age, Embryologic,Age, Fetal,Age, Gestational,Ages, Embryologic,Ages, Fetal,Ages, Gestational,Embryologic Ages,Fetal Ages,Gestational Ages
D006340	Heart Rate, Fetal	The heart rate of the FETUS. The normal range at term is between 120 and 160 beats per minute.	Fetal Heart Rate,Fetal Heart Rates,Heart Rates, Fetal,Rate, Fetal Heart,Rates, Fetal Heart
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000161	Acoustic Stimulation	Use of sound to elicit a response in the nervous system.	Auditory Stimulation,Stimulation, Acoustic,Stimulation, Auditory
D012189	Retrospective Studies	Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.	Retrospective Study,Studies, Retrospective,Study, Retrospective