A small ultrasonic transducer was designed and inserted into the uterus and the relation between the velocity of placental blood flow (PBF) and amniotic pressure was studied. The mean ± SD of amniotic pressure at sudden decrease of the velocity of PBF, was 42.2 ± 8.8mmHg and at recovery of the velocity of PBF, was 35.7 ± 7.4mmHg. This interval was discussed as the “loading interval” to the fetus.
For applying transcutaneous oxygen (tcPO
2) electrodes to fetal monitoring, a fixing device to the fetal head was manufactured. Amniotic pressure and fetal tcPO
2 were simultaneously recorded. FHR pattern was classified as no deceleration (ND), early deceleration (ED), late deceleration (LD), and variable deceleration (VD) according to the deceleration pattern, and fetal tcPO
2 values were compared. LD and VD patterns showed a more hypoxic condition of fetus than did ND and ED patterns. From the relation-ship between the “loading interval” and the tcPO
2 change, it was suggested that an amniotic pressure interval shorter than two minutes might cause hypoxia and at least a four-minute interval of amniotic pressure elevation should be controlled if fetal hypoxia is suggested.
View full abstract