| 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 |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
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. |
Affiliation:
|
Department of Obstetrics, Sahlgren's University Hospital, M?lndal, Sweden. hakan.noren@vgregion.se |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acidosis
/
blood,
epidemiology* Cardiotocography / methods* Delivery, Obstetric / methods Female Heart Rate, Fetal / physiology* Humans Labor, Obstetric / blood* Male Pregnancy Prevalence Prospective Studies Sweden |
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...