Document Detail

Prevention of birth asphyxia: responding appropriately to cardiotocograph (CTG) traces.
MedLine Citation:
PMID:  17400026     Owner:  NLM     Status:  MEDLINE    
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.
Edwin Chandraharan; Sabaratnam Arulkumaran
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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    
St George's Healthcare NHS Trust, London, UK.
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MeSH Terms
Asphyxia Neonatorum / prevention & control*
Cardiotocography* / classification
Fetal Hypoxia / diagnosis
Infant, Newborn
Medical Errors / prevention & control*
Risk Factors
Safety Management / methods*

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

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