Abstract

INTRODUCTION

To determine the relationship between early neonatal outcomes and intrapartum fetal heart rate tracings according to the United States of America National Institute of Child Health and Human Development (NICHD)

METHODS

150 single, cephalic presentation and non-complicated pregnants have been evaluated according to the categories of NICHD. Category 1, which has 110-160 pulse/min baseline and variability also not having late and variable deceleration, was defined as group 1. Category 3 traces, which having late and variable deceleration or bradycardia, were defined as group 3. Except those, category 2 traces, that not to fit in both categories are mentioned before, were defined group 2. Groups were compared to types of borns, 1. And 5. min. APGAR scores, umbilical cords blood gas pH values, being amnion fluid with meconium and the need for newborn intensive care unit.

RESULTS

50 patients were included in each category. İt was determined, in group 2 and group 3 UA pH values and 1 min. APGAR scores were statical meaningly lesser than group 1 (p< 0.05). Also, group 3 rates of cesarian and amnion fluid with meconium were statically higher than group 1 and 2 (< 0.05). There is no statically differences between needing for newborn intensive care unit and 5. min. APGAR scores (p> 0.05).

DISCUSSION AND CONCLUSION

According to intrapartum fetal heart rate traces, 2008 NICHD categories are safe, effective and valid a non-invasive test for forecasting early neonatal results.