The Ewha Medical Journal
Ewha Womans University School of Medicine
Original Article

Relationship of Variable Deceleration and Fetal Outcome

Chong Il Kim
Corresponding author: Chong il Kim. Department of Obstetrics and Gynecology, School of Medicine, Ewha Womans University, Korea.

Copyright ⓒ 1984. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

The continuous fetal heart rate monitoring for assesment of fetal condition during labor is contribute to decrease fetal mortality and morbidity and early detection of fetal distress. Variable deceleration is most common fetal heart rate pattern. The cause of variable deceleration are umbilical cord compression. It is classified with mind, moderate and severe by the degree of decrease heart rate and duration of bradycardia. An experience 42 variable deceleration pattern among 108 high risk pregnancy and the following results obtained. 1) The incidence of variable deceleration were 37% among 108 high risk pregnancy. 2) The incidence of fetal distress(Apgar score below) 6 in 1 minutes were 36% of mind variable deceleration, 50% of moderate, and severe variable deceleration. 3) The mean scalp PH were 7.3in mild 7.25 in moderate variable deceleration. 4) The incidence of nuchal umbilical cord were 40% and the meconium stained amniotic fluid were 45%.