Brain stem auditory evoked potentials in the human fetus during labor - 08/09/11
Abstract |
Objective: The aim of this study was to record, during labor, the brain stem auditory evoked potentials of the fetus from standard fetal scalp electrodes. Study Design: A personal computer–based instrument was developed to record, during labor, brain stem auditory evoked potentials from 10 fetuses ranging in gestational age from 36 to ≥40 weeks. Auditory stimulus was provided by clicks (16/s) delivered on the mother’s abdomen with an intensity of 120 dB. The evoked potential signals were digitized and averaged. Interfering artifacts were excluded from the averages. Results: In 80% of the subjects, all the principal waveforms of the brain stem auditory evoked potentials—waves I, III, and V—were clearly identifiable. The latency for wave I ranged from 1.2 to 2.2 ms, wave III from 3.4 to 5.6 ms, and wave V from 5.8 to 8.4 ms. The morphologic features of the waveform and the interwave latency values were similar to those of normal term infants recorded in the past studies. Conclusion: We have reestablished that it is possible to record auditory evoked potentials during labor from fetal scalp electrodes. Brain stem auditory evoked potentials may be a useful screening tool for at least the severely neurologically damaged fetus. (Am J Obstet Gynecol 1999;180:1422-6.)
Le texte complet de cet article est disponible en PDF.Keywords : Fetal brain stem auditory evoked potentials, neurologic assessment
Plan
| Reprint requests: Curtis L. Lowery, MD, University of Arkansas for Medical Sciences, 4301 West Markham, Slot 518, Little Rock, AR 72205. |
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| 0002-9378/99 $8.00 + 0 6/6/98246 |
Vol 180 - N° 6
P. 1422-1426 - juin 1999 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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