MATERNAL OXYGEN THERAPY FOR INTRAUTERINE GROWTH RETARDATION

K. H. Nicolaides, R. J. Bradley, P. W. Soothill, S. Campbell, C. M. Bilardo, D. Gibb

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Abstract

Humidified oxygen (55%) was administered continuously through a face mask to 5 patients whose pregnancies (4 singleton and 1 twin) were all complicated by severe intrauterine growth retardation, oligohydramnios, high blood-flow impedance in the fetal aorta and umbilical artery, and low mean blood-velocity in the fetal thoracic aorta. All the fetuses were hypoxic and 2 were acidotic. After maternal hyperoxygenation, the fetal pO2 increased to within or near the normal range, and resulted in a sustained increase in the mean blood-velocity in the fetal thoracic aorta. 5 fetuses survived with minimum neonatal morbidity. The effect of maternal hyperoxygenation on the fetal pO2 in such cases may prove to be a useful method of assessing placental function and guiding management. © 1987.
Original languageEnglish
Pages (from-to)942-945
JournalThe Lancet
Volume329
Issue number8539
DOIs
Publication statusPublished - 1987
Externally publishedYes

Cite this

Nicolaides, K. H., Bradley, R. J., Soothill, P. W., Campbell, S., Bilardo, C. M., & Gibb, D. (1987). MATERNAL OXYGEN THERAPY FOR INTRAUTERINE GROWTH RETARDATION. The Lancet, 329(8539), 942-945. https://doi.org/10.1016/S0140-6736(87)90292-3