Objectives: This study was performed to prove, if the use of methods,
that are based on procedures for analysis of chaotic systems (''comple
xity analysis''), can give information on the fetal condition during b
irth and predict both the course of delivery and fetal outcome. Patien
ts and methods: Fetal ECG was derived in 37 pregnancies (36-42 weeks o
f gestation) during birth for two to seven hours. In 12 cases delivery
was uncomplicated, in 24 cases FHR tracings had been pathological. Re
sults: Complexity analysis of fetal ECG signals showed within short ob
servation intervals criteria that may be a hint for imminent fetal dis
tress and acidosis. Conclusions: Application of complexity analysis in
the future may give additional information for evaluation of intrapar
tum CTG in cases of suspicious FHR patterns.