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Scientifica
Volume 2016, Article ID 5386595, 6 pages
http://dx.doi.org/10.1155/2016/5386595
Research Article

The Use of Fetal Noninvasive Electrocardiography

Perinatology, Obstetrics and Gynecology Department, Kharkiv Medical Academy of Postgraduate Education, 58 Shalimov Street, Kharkiv 61176, Ukraine

Received 2 December 2015; Revised 29 January 2016; Accepted 1 February 2016

Academic Editor: Kosmas Paraskevas

Copyright © 2016 Igor Lakhno. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Preeclampsia (PE) is one of the severe complications of pregnancy that leads to fetal deterioration. The aim was to survey the validity of fetal distress diagnostics in case of Doppler ultrasonic umbilical vein and arteries blood flow velocity investigation and ECG parameters analysis obtained from maternal abdominal signal before labor in preeclamptic patients. Fetal noninvasive ECG and umbilical arterial and venous Doppler investigation were performed in 120 patients at 34–40 weeks of gestation. And 30 of them had physiological gestation and were involved in Group I. In Group II 52 pregnant women with mild-moderate PE were observed. 38 patients with severe PE were monitored in Group III. The most considerable negative correlation was determined in pair Apgar score 1 versus T/QRS (; ). So the increased T/QRS ratio was the most evident marker of fetal distress. Fetal noninvasive ECG showed sensitivity of 96.6% and specificity of 98.4% and, therefore, was determined as more accurate method for fetal monitoring.