Document Detail

Reduced prevalence of metabolic acidosis at birth: an analysis of established STAN usage in the total population of deliveries in a Swedish district hospital.
MedLine Citation:
PMID:  20079889     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to investigate quality-of-care improvements after the introduction of ST waveform analysis as an adjunct to standard cardiotocography (CTG). STUDY DESIGN: This was a prospective clinical study that was conducted over 7 years. Four yearly cohorts of 12,832 term pregnancies were part of a detailed analysis. Cord blood metabolic acidosis and neonatal outcome were main outcome measures. RESULTS: The STAN (S31 Fetal Heart Monitor; Neoventa Medical AB, M?lndal, Sweden) usage rate increased from 26 to 69%. The cord metabolic acidosis rate was reduced from 0.72 to 0.06%. This 91.7% improvement was associated with a significant reduction in the number of cases with a prolonged response time, calculated as the time from CTG + ST indications to intervene until delivery and an ability of the staff to identify and act on preterminal and unstable fetal heart rate patterns at the onset of a recording. CONCLUSION: Our data indicate a paradigm shift in the outcome of delivery related to a high rate of CTG + ST usage and the application of structured CTG analysis.
H?kan Nor?n; Ann Carlsson
Related Documents :
3938949 - Sinusoidal antenatal fetal heart rate patterns.
9788649 - Blunted fetal response to vibroacoustic stimulation following chronic exposure to propr...
3955929 - Fetal heart rate characteristics that provide confidence in the diagnosis of fetal well...
16643829 - Stan in clinical practice--the outcome of 2 years of regular use in the city of gothenb...
17467589 - Intrauterine resuscitation during labor: review of current methods and supportive evide...
18605969 - Human fetal heart rate variability-characteristics of autonomic regulation in the third...
10683599 - Exercise and training in women, part ii: influence of menstrual cycle and pregnancy.
17484199 - Teenage pregnancy in the united kingdom: are we doing enough?
677189 - Plasma prostaglandin metabolites in human labor.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-01-15
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  202     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-31     Completed Date:  2010-06-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  546.e1-7     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Mosby, Inc. All rights reserved.
Department of Obstetrics, Sahlgren's University Hospital, M?lndal, Sweden.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Acidosis / blood,  epidemiology*
Cardiotocography / methods*
Delivery, Obstetric / methods
Heart Rate, Fetal / physiology*
Labor, Obstetric / blood*
Prospective Studies

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

Previous Document:  Universal cervical length screening and treatment with vaginal progesterone to prevent preterm birth...
Next Document:  Markers of glutamate synaptic transmission and plasticity are increased in the anterior cingulate co...