Document Detail

Fetal electrocardiography in labor and neonatal outcome: data from the Swedish randomized controlled trial on intrapartum fetal monitoring.
MedLine Citation:
PMID:  12548215     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Cardiotocography plus automatic ST analysis of the fetal electrocardiography has been shown recently to reduce both the operative delivery rate for fetal distress and the cord artery metabolic acidosis rate. The purpose of this study was to analyze findings that were related to cases with a complicated/adverse neonatal outcome in the Swedish randomized controlled trial. STUDY DESIGN: Of the 4966 term fetuses that were included in the trial, all 351 newborn infants who required special neonatal care were identified. Cases of perinatal death, neonatal encephalopathy, or metabolic acidosis at birth were reviewed. RESULTS: Of the 29 fetuses with adverse/complicated neonatal outcome, 22 fetuses had cardiotocography and ST patterns that indicated a need for intervention, according to the cardiotocography plus ST clinical guidelines. The number of live-born with moderate or severe neonatal encephalopathy showed a significant decrease from 0.33% (8/2447 fetuses) in the cardiotocography-only group to 0.04% (1/2519 fetuses) in the cardiotocography plus ST group. CONCLUSION: Cardiotocography plus ST analysis provides accurate information about intrapartum hypoxia and may prevent intrapartum asphyxia and neonatal encephalopathy by giving a clear alert to the staff members who are in charge.
Håkan Norén; Isis Amer-Wåhlin; Henrik Hagberg; Andreas Herbst; Ingemar Kjellmer; Karel Marşál; Per Olofsson; Karl G Rosén
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  188     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-01-27     Completed Date:  2003-02-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  183-92     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Perinatal Center, Sahlgrenska University Hospital, Goteborg University, Göteborg, Sweden.
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MeSH Terms
Acidosis / epidemiology,  physiopathology
Asphyxia Neonatorum / physiopathology,  prevention & control
Brain Diseases / epidemiology,  physiopathology,  prevention & control
Fetal Heart / physiology*
Fetal Hypoxia / complications,  diagnosis,  prevention & control
Fetal Monitoring / methods
Infant Mortality
Infant, Newborn
Labor, Obstetric*
Pregnancy Outcome
Comment In:
Am J Obstet Gynecol. 2003 Jul;189(1):308; author reply 308-9   [PMID:  12861186 ]

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