Cousins LM, Poeltler DM, Faron S, Catanzarite V, Daneshmand S, Casele H. Nonstress testing at ≤ 32.0 weeks' gestation: a randomized trial comparing different assessment criteria.
Am J Obstet Gynecol 2012;
207:311.e1-7. [PMID:
23021694 DOI:
10.1016/j.ajog.2012.06.032]
[Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2012] [Revised: 04/27/2012] [Accepted: 06/14/2012] [Indexed: 11/20/2022]
Abstract
OBJECTIVE
Comparison of time and outcomes of National Institutes of Child Health and Human Development defined fetal heart rate acceleration criteria at ≤ 32 weeks (≥ 10 beats/min, ≥ 10 seconds) compared with standard criteria (≥ 15 beats/min, ≥ 15 seconds).
STUDY DESIGN
Singleton high-risk pregnancies that were referred for nonstress testing at ≤ 32 weeks' gestation were randomly assigned to 15 × 15 or 10 × 10 criteria. Data included nonstress test information, maternal data, and outcomes.
RESULTS
One hundred forty-three women were randomly assigned to 15 × 15 (n = 71) or 10 × 10 (n = 72). The groups were similar in maternal and pregnancy characteristics. Median time to reactive nonstress testing was shorter in the 10 × 10 group (37.3 minutes) than the 15 × 15 group (41.3 minutes; P = .04). There were no serious adverse events.
CONCLUSION
The time to attain a reactive nonstress testing at ≤ 32 weeks' gestation was 4 minutes shorter when the 10 × 10 criteria were used. There were no adverse events related to use of 10 × 10 nonstress testing criteria.
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