Year | Paper | Parameters assessed | Findings |
---|---|---|---|
1981 | Karinemi et al. | STV using DI | 95.4% of NIFECG were successfully acquired. The distribution of DI in the IUGR group was significantly different to the normal cohort (p < 0.001). DI had sensitivity of 64% and predictive value of 80% in screening for fetal distress in the IUGR group(p < 0.01) |
1982 | Brambati et al. | QRS | 100% of NIFECG were successfully analysed 96.2% of SFD fetuses had QRS duration less then 2SD below the normal values for gestation. QRS duration (in pregnancy) and live birthweight demonstrated a strong relation (r = 0.74, p < 0.001) |
1986 | Pardi et al. | QRS | 100% of NIFECG were successfully analysed. 81.5% of IUGR fetuses had QRS duration less then 2SD below the normal values for gestation. QRS duration (in pregnancy) and live birthweight demonstrated a linear relation (r = 0.69, p < 0.001) QRS values >4SD below normal were related with abnormal CTG, low APGAR and perinatal deaths |
2012 | Graatsma et al. | FHR PRSA- AC/DC STV | STV increased in early gestation with stable 3rd trimester values AC and DC remained constant during pregnancy irrespective of gestation. STV abnormal in 16% of the IUGR fetuses AC and DC abnormal in 36 and 40% of IUGR Z scores for IUGR fetuses for STV, AC and DC were lower by 1.0SD, 1.5SD and 1.7SD respectively in comparison to the controls [mean of z- scores, 0;SD-1, (p < 0.0001)] In IUGR group, AC and DC z scores were lower than STV scores. When STV z score was utilised with AC and/or DC Z-scores, the findings of deviation became more accentuated |
2015 | Stampalija et al. | PRSA STV | Significantly lower AC and DC in IUGR vs controls (p < 0.05) for any T ≥ 5 values AUC for AC [0.63 (95% CI 0.47–0.78)–0.87 (95% CI 0.77–0.96)] and DC [0.64 (95% CI 0.48–0.79)–0.89 (95% CI 0.81–0.98)] STV significantly lower between IUGR and controls (8.6 ± 2.4vs 11.1 ± 2.6 ms. P = 0.001). AUC for STV 0.77 (95% CI 0.65–0.90). AUC for PRSA significantly outperformed STV |
2016 | Stampalija et al. | PRSA- AC/DC at T9 | AC and DC at T9 were significantly lower in IUGR vs controls after adjusting for GA [OR = 2.1, 95%CI 1.5–3.0 and OR = 0.5 95%CI 0.36–0.68, p < 0.001) AC and DC at T9 were higher for IUGR with brain sparing vs those without brain sparing (OR = 1.8, 95%CI 0.97–3.4, p = 0.06 and OR = 0.5 95%CI 0.30–0.98, p = 0.04) |
2016 | Fuchs et al. | T/QRS ratio STV FIGO classification of CTG- normal, suspicious and pathological | STV in normal pregnancies (9.08 ± 3.91) were significantly different (p < 0.05) from IUGR with brain sparing (11.33 ± 1.38) and IUGR without brain sparing (10.16 ± 4.98) T/QRS values were all below the cut off for abnormal results across all groups Highest average T/QRS ratio (> 0.3) seen in IUGR with brain sparing regardless of FIGO classification of CTG No correlation found between T/QRS ratio and FIGO classification of CTG |
2016 | Fuchs et al. | T/QRS ratio | Regression did not show any significant differences between groups in relation to GA and T/QRS ratio. T/QRS ratios demonstrated significant differences between IUGR group with reduced CPR and normal CPR (p < 0.001) When using the maximum values and maximum – minimum values, the regression line descends in group with normal CPRs but rises in group with reduced CPR. |
2017 | Velayo et al. | QT, RR, QRS, ST,PR and PQ intervals. QTc, PR/RR and HR | 100% of PQRST were recognised. Both QT and QTc parameters were significantly prolonged (p < 0.05). QT > 267.99 has a sensitivity of 80.0% and a PPV of 40% for IUGR. QTc > 0.43 had a sensitivity > 86.7% and PPV of 40.6%. |