Purpose:The Non stress test (NST) is one of the significant diagnostic fetal wellbeing tests. The purpose of this study is to assess diagnostic value of NST during latent phase of labor by considering maternal and neonatal outcomes.Subjects:This case control study was performed on 450 healthy pregnant women with gestational ages between 38-42 weeks in AL-Zahra teaching hospital in Tabriz, Iran. All participants underwent NST after being admitted to labor during their latent phase of delivery. Participants were divided into two groups including the study group which included 150 participants with non-reactive NST results whereas 300 subjects with reactive NST results assigned in the control group. Subjects in both groups were hospitalized for pregnancy termination because of the delivery time. In order to find out the importance of routine performance of NST during delivery, the relationship between NST results and maternal and fetal outcomes was evaluated. Several criteria including type of delivery, meconium defecation, descent arrest, bradycardia, Apgar score, and still birth were compared between two groups.Results:Findings of this study showed that descent arrest occurred in 2.7% of the subjects in the study group, whereas it occurred in 4.7% of the participants in the control group (p=0.44). Bradycardia found in 28% of the participants in study group and 3.3% of the control group (p<0.001). The low Apgar score was found in 2.7% of case group however; no the low Apgar score detected in the control group. Meconium defecation observed in 11.3% of the subjects in the study group and 9.7% of the participants in control group (p=0.62). The amount of stillbirth was 2.7% in the study group and no stillbirths were found in control group. There was a significant difference between the results of both groups in terms of bradycardia, low Apgar score and cesarean section.Conclusion:Results of this study revealed that participants in study group with nonreactive NST results had more fetal complications than those with reactive NST results. NST was found to be a valuable diagnostic test for diagnosis of fetal distress during delivery in the latent phase. These findings of this study suggest that NST should be performed routinely as a valuable diagnostic test during the latent phase of delivery.

Both stimulating approaches were effective in the identification of false positive NSTs and might be useful in preventing the unnecessary interventions.

present  study,  we aimed at studying maternal  and  neonatal  outcomes  in  patients with terminated pregnancy in 34th  and  36th  gestational  weeks. Materials and methods: 40 pregnant women, with PPROM who underwent pregnancy termination at 34 group (A) or 36 group (B) gestational weeks, were included to be evaluated and compared for maternal and neonatal outcomes. Type of delivery, birth complications, chorioamnoionitis, endometritis, sepsis, maternal mortality, infant gender, birth weight, Apgar scores, respiratory distress syndrome, Meconium-stained amniotic fluid, NICU admission, abruption, umbilical cord prolapse, maternal and neonatal outcomes were compared between the two groups.  Results: There was no statistically significant difference between the two groups regarding maternal age, level of education, or gravity. The percentage of cases with birth weight between 1500 and 2500 g was significantly higher in group A P<0.001). Frequency of NICU admission in group A was significantly more than group B (P<0.001). In conclusion: Termination of pregnancy at 36 weeks compared to 34 weeks in pregnant women with PPROM is preferred in terms of neonatal outcomes and it is recommended; also, there might be no preference in terms of  maternal outcomes.

Background The authors report the first case of antenatal perforation of fetal appendix, which presented as isolated ascites and polyhydramnios at 28-week gestation. Case 28-year-old woman, G2 P0+1, non-consanguineous marriage, with a positive blood group and a normal mid-trimester scan, was referred at 28-week gestation with sudden increase in symphsio-fundal height measurement. Antenatal Ultrasound showed polyhydramnios, and fetal ascites with no hydrothorax, pericardial effusion or soft tissue calcifications. The umbilical artery, middle cerebral artery and ductus venosus Doppler were all within normal range. All immunological and infection screening were negative. Amnioreduction and karyotyping was performed and was normal. She went into spontaneous labour at 33 weeks and delivered a live male baby 2.5 kg in weight with normal Apgar score and cord gases. The baby was admitted to neonatal intensive unit. Abdominal examination revealed a mass to the right side of the umbilicus, confirmed on abdominal x-ray. He underwent laparotomy at age of 2 days which showed a necrotic perforated appendix with meconium pseudo cyst, confirmed on histology. Conclusion Isolated fetal ascites with otherwise normal ultrasound and no hydrops carries a good prognosis. Conclusive aetiologic diagnosis requires careful postnatal work up. Perforated appendix needs to be considered as a possibility.

Background and aims:Non-stress test (NST) is known as one of the most common assessments for evaluation of fetus wellbeing. Since the prevalence of its false positive resultsishigh and majority of fetuses with non-reactive results are not at risk, it is important to find out effective approaches to identify such results to avoid unnecessary interventions. So this survey was conducted with the aim of comparing the effects of acoustic stimulation with feeding mothers stimulation on non-reactive NST results.Methods:This study performed on 104 healthy pregnant women with non-reactive NST results and gestational ages between 32 and 42 weeks in Tabriz Alzahra hospital. Subjects were divided into two groups for acoustic stimulation and feeding mother stimulation. Halfan hour later NST repeated for participants of each group in the same environmental condition and again the results evaluated.Results:According to our findings, 75% of subjects with non-reactive NST results changed to reactive after acoustic stimulation group. However, 80% of participants with non-reactive NST results changed into reactive after feeding Stimulation. No significant differences found while comparing test results.Conclusion:Both stimulating approaches were effective in the identification of false positive NSTs and might be useful in preventing the unnecessary interventions.