Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy

The aim of this study was to evaluate the impact of vibroacoustic stimulation (VAS) on computerized cardiotocography short-term variability (STV) and approximate entropy (ApEn) in both low- and high-risk pregnancies. VAS was performed on 121 high- and 95 low-risk pregnancies after 10 minutes of cont...

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Main Authors: Maria Laura Annunziata, Mariamaddalena Scala, Natascia Giuliano, Salvatore Tagliaferri, Olga Carmela Maria Imperato, Francesca Giovanna Esposito, Marta Campanile, Andrea Di Lieto
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2012/814987
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author Maria Laura Annunziata
Mariamaddalena Scala
Natascia Giuliano
Salvatore Tagliaferri
Olga Carmela Maria Imperato
Francesca Giovanna Esposito
Marta Campanile
Andrea Di Lieto
author_facet Maria Laura Annunziata
Mariamaddalena Scala
Natascia Giuliano
Salvatore Tagliaferri
Olga Carmela Maria Imperato
Francesca Giovanna Esposito
Marta Campanile
Andrea Di Lieto
author_sort Maria Laura Annunziata
collection DOAJ
description The aim of this study was to evaluate the impact of vibroacoustic stimulation (VAS) on computerized cardiotocography short-term variability (STV) and approximate entropy (ApEn) in both low- and high-risk pregnancies. VAS was performed on 121 high- and 95 low-risk pregnancies after 10 minutes of continuous quiet, while their FHR parameters were monitored and recorded by cCTG analysis. Fetal heart rate was recorded using a computer-assisted equipment. Baseline FHR, accelerations, decelerations, STV, long-term irregularity (LTI), ApEn, and fetal movements (FMs) were calculated for defined observational periods before VAS and after 10 minutes. Data were also investigated in relationship with the perinatal outcome. In each group of patients, FHR after VAS remained almost unmodified. Fetal movements significantly increased after VAS in both groups. Results show that only in the high-risk pregnancies, the increase of STV and the decrease of ApEn after VAS were significantly associated with favorable perinatal outcomes.
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institution Kabale University
issn 2090-2727
2090-2735
language English
publishDate 2012-01-01
publisher Wiley
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series Journal of Pregnancy
spelling doaj-art-63014daf92c74361a324321f763c720b2025-02-03T01:23:12ZengWileyJournal of Pregnancy2090-27272090-27352012-01-01201210.1155/2012/814987814987Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate EntropyMaria Laura Annunziata0Mariamaddalena Scala1Natascia Giuliano2Salvatore Tagliaferri3Olga Carmela Maria Imperato4Francesca Giovanna Esposito5Marta Campanile6Andrea Di Lieto7Department of Obstetrical-Gynaecological and Urological Science and Reproductive Medicine, Prenatal Care Unit, University “Federico II” of Naples, 80131 Naples, ItalyDepartment of Obstetrical-Gynaecological and Urological Science and Reproductive Medicine, Prenatal Care Unit, University “Federico II” of Naples, 80131 Naples, ItalyDepartment of Obstetrical-Gynaecological and Urological Science and Reproductive Medicine, Prenatal Care Unit, University “Federico II” of Naples, 80131 Naples, ItalyDepartment of Obstetrical-Gynaecological and Urological Science and Reproductive Medicine, Prenatal Care Unit, University “Federico II” of Naples, 80131 Naples, ItalyDepartment of Obstetrical-Gynaecological and Urological Science and Reproductive Medicine, Prenatal Care Unit, University “Federico II” of Naples, 80131 Naples, ItalyDepartment of Obstetrical-Gynaecological and Urological Science and Reproductive Medicine, Prenatal Care Unit, University “Federico II” of Naples, 80131 Naples, ItalyDepartment of Obstetrical-Gynaecological and Urological Science and Reproductive Medicine, Prenatal Care Unit, University “Federico II” of Naples, 80131 Naples, ItalyDepartment of Obstetrical-Gynaecological and Urological Science and Reproductive Medicine, Prenatal Care Unit, University “Federico II” of Naples, 80131 Naples, ItalyThe aim of this study was to evaluate the impact of vibroacoustic stimulation (VAS) on computerized cardiotocography short-term variability (STV) and approximate entropy (ApEn) in both low- and high-risk pregnancies. VAS was performed on 121 high- and 95 low-risk pregnancies after 10 minutes of continuous quiet, while their FHR parameters were monitored and recorded by cCTG analysis. Fetal heart rate was recorded using a computer-assisted equipment. Baseline FHR, accelerations, decelerations, STV, long-term irregularity (LTI), ApEn, and fetal movements (FMs) were calculated for defined observational periods before VAS and after 10 minutes. Data were also investigated in relationship with the perinatal outcome. In each group of patients, FHR after VAS remained almost unmodified. Fetal movements significantly increased after VAS in both groups. Results show that only in the high-risk pregnancies, the increase of STV and the decrease of ApEn after VAS were significantly associated with favorable perinatal outcomes.http://dx.doi.org/10.1155/2012/814987
spellingShingle Maria Laura Annunziata
Mariamaddalena Scala
Natascia Giuliano
Salvatore Tagliaferri
Olga Carmela Maria Imperato
Francesca Giovanna Esposito
Marta Campanile
Andrea Di Lieto
Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy
Journal of Pregnancy
title Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy
title_full Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy
title_fullStr Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy
title_full_unstemmed Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy
title_short Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy
title_sort fetal vibroacoustic stimulation in computerized cardiotocographic analysis the role of short term variability and approximate entropy
url http://dx.doi.org/10.1155/2012/814987
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