Abstract
Summary: The value of urinary oestriol excretion and serum placental lactogen (HPL) in the early diagnosis of fetal distress has been compared in a retrospective study of 174 patients whose pregnancies were complicated by hypertension. Severe fetal‐placental dysfunction was present in 36 pregnancies, and 25 (70%) were predicted by the oestriol test, 32 (89%) by the HPL test, and 34 (95%) by the use of both tests. In the 107 pregnancies where fetal‐placental function was clinically normal, confirmation was obtained in 74 (69%) by the oestriol test and in 68 (64%) by the HPL test. The HPL test warned against fetal distress somewhat earlier than the oestriol test. As a simple and rapid method, the HPL test is as suitable as the oestriol test for the routine monitoring of hypertensive pregnancies.
Published Version
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