Table 6.
Neonatal outcomes by fetal heart rate tracing category post intervention
| Outcome | Improvement to category I within 60 minutes (N=1433) | No improvement to category I within 60 minutes (N=818) | Odds Ratio (95% CI) or p-value |
|---|---|---|---|
| Composite adverse outcome | 38/1377 (2.8%) | 25/790 (3.2%) | 0.87 (0.52–1.45) |
| Intrapartum fetal death | 0 | 0 | |
| Neonatal death | 1 (0.1%) | 0 (0.0%) | |
| Apgar score ≤3 at 5 minutes | 8 (0.6%) | 5 (0.6%) | |
| Neonatal seizure | 2 (0.1%) | 1 (0.1%) | |
| Umbilical artery blood pH ≤ 7.05 | 17/1376 (1.2%) | 17/790 (2.2%) | |
| Intubation for ventilation at delivery | 19 (1.3%) | 11 (1.3%) | |
| Neonatal encephalopathy | 2 (0.1%) | 2 (0.2%) | |
| Apgar score at 5 minutes | 9 (9–9) | 9 (9–9) | P=0.24 |
| Umbilical-artery pH | 7.24 ± 0.06 | 7.23 ± 0.08 | P=0.007 |
| Intermediate care nursery or neonatal intensive care unit admission | 169 (11.8%) | 130 (15.9%) | 0.71 (0.55–0.91) |
Data are n (%), median (interquartile range), or mean ± standard deviation unless otherwise specified
Composite adverse outcome is composed of any one of the following occurrences: intrapartum fetal death, neonatal death, an Apgar score of 3 or less at 5 minutes, neonatal seizure, an umbilical artery blood pH of 7.05 or less with a base deficit of 12 mmol per liter or more, intubation for ventilation at delivery, or neonatal encephalopathy