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August 10, 1963JAMA14 citations

Fetal Electrocardiography

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TBTerry M. Buxton

Key Result

Fetal electrocardiography using a simple preamplifier yielded positive tracings in 89.5% of normal pregnancies and established correct diagnoses in 95% of diagnostic problem cases.

Study Design

Type

Observational (n=254)

Structured PICO

Does fetal electrocardiography using a simple preamplifier and standard electrocardiograph accurately detect fetal cardiac activity and diagnose complications in pregnant patients?

P
Population
254 pregnant patients, including 200 with normal pregnancy, 10 in normal active labor, and 44 diagnostic problem patients (suspected fetal death, twin pregnancy, pseudocyesis, hydatid mole, and arrhythmia).
I
Intervention
Fetal electrocardiography using a simple, inexpensive preamplifier and a standard electrocardiograph.
O
Outcome
Clinical accuracy and rate of positive fetal electrocardiograms recorded.surrogate

A simple preamplifier and standard electrocardiograph can accurately record fetal ECGs and assist in diagnosing fetal complications.

Abstract

This study in fetal electrocardiography was undertaken to evaluate the clinical accuracy of a simple, inexpensive preamplifier and a standard electrocardiograph. Two hundred and fifty-four patients were studied. These were divided into three groups. In group 1, consisting of 200 patients with normal pregnancy, positive fetal electrocardiograms (ECG) were recorded in 179 (89.5%), including one set of clinically unsuspected twins. In group 2, of ten patients in normal active labor, positive tracings were obtained in all ten between uterine contractions and in nine during contractions as well. Group 3 consisted of 44 diagnostic problem patients (suspected fetal death, twin pregnancy, pseudocyesis, hydatid mole, and arrhythmia); fetal electrocardiography established a correct diagnosis in 42 cases (95%).

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Cite This Study

Terry M. Buxton (1963) conducted an observational in Pregnancy (n=254). Fetal electrocardiography was evaluated on Clinical accuracy of obtaining positive fetal electrocardiograms. Fetal electrocardiography using a simple preamplifier yielded positive tracings in 89.5% of normal pregnancies and established correct diagnoses in 95% of diagnostic problem cases.

synapsesocial.com/papers/6a0e3cdcfeb2455d62c83c97https://doi.org/10.1001/jama.1963.03060060039014
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Fetal electrocardiography, with special reference to early pregnancy1958 · 27 citations
  2. 2A method of fetal electrocardiography1959 · 15 citations
  3. 3THE STUDY OF FETAL PROBLEMS WITH ELECTRONIC METHODS1960 · 5 citations
  4. 4The clinical value of fetal electrocardiography1960 · 69 citations
  5. 5Fetal Anoxia and its Possible Relation to Changes in the Prenatal Fetal Electrocardiogram1957 · 75 citations