Document Detail


Prevention of birth asphyxia: responding appropriately to cardiotocograph (CTG) traces.
MedLine Citation:
PMID:  17400026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Birth asphyxia is a broad term that refers to intrapartum asphyxia sufficient to cause neurological damage in some newborns and, rarely, intrapartum or neonatal death. Cerebral palsy and long-term neurological complications such as learning difficulties and motor impairments may be due to causes other than birth asphyxia. Several intrapartum events may cause asphyxia (i.e. hypoxia and metabolic acidosis) leading to the likelihood of neurological injury. The cardiotocograph (CTG) is a screening tool that is used to assess fetal well-being during labour and to identify the possibility of asphyxia. Abnormality of the CTG, sometimes severe enough to be described as a pathological trace, is commonly termed 'fetal distress', although many fetuses with such traces may not have hypoxia and metabolic acidosis. In current practice, the events are appropriately termed 'pathological CTG trace' or 'acidotic pH' rather than 'fetal distress'. Accurate interpretation of CTG is essential, and it is important to recognize a fetus that shows a pathological CTG in labour that may imply possible hypoxia and birth asphyxia. Considering the wider clinical picture in interpreting the CTG, and taking timely and appropriate action based on the findings, may help prevent birth asphyxia.
Authors:
Edwin Chandraharan; Sabaratnam Arulkumaran
Related Documents :
22692766 - Antidepressant use during pregnancy and serotonin transporter genotype (slc6a4) affect ...
18829776 - Outcomes of safety and effectiveness in a multicenter randomized, controlled trial of w...
7979486 - Prognostic value of continuous electroencephalographic recording in full term infants w...
22324496 - The bias in current measures of gestational weight gain.
8479246 - The single-pass perfused rabbit ear as a model for studying percutaneous absorption of ...
7295046 - Plasma lipids and lipoproteins of japanese adults and umbilical cord blood.
Publication Detail:
Type:  Journal Article; Review     Date:  2007-03-30
Journal Detail:
Title:  Best practice & research. Clinical obstetrics & gynaecology     Volume:  21     ISSN:  1521-6934     ISO Abbreviation:  Best Pract Res Clin Obstet Gynaecol     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-01     Completed Date:  2008-04-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101121582     Medline TA:  Best Pract Res Clin Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  609-24     Citation Subset:  IM    
Affiliation:
St George's Healthcare NHS Trust, London, UK. echandra@sghms.ac.uk
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Asphyxia Neonatorum / prevention & control*
Cardiotocography* / classification
Female
Fetal Hypoxia / diagnosis
Humans
Infant, Newborn
Medical Errors / prevention & control*
Pregnancy
Risk Factors
Safety Management / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Neuronal glia interactions at the vertebrate neuromuscular junction.
Next Document:  Correction of preoperative vitamin D deficiency after Roux-en-Y gastric bypass surgery.