Document Detail


Update on intrapartum fetal pulse oximetry.
MedLine Citation:
PMID:  12069136     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article examines the current status of fetal pulse oximetry (FPO) as a means of intrapartum assessment of fetal wellbeing. FPO has been developed to a stage where it is a safe and accurate indicator of intrapartum fetal oxygenation. In general, sliding the FPO sensor along the examiner's fingers and through the cervix, to lie alongside the fetal cheek or temple is easy The recent publication of a randomised controlled trial (RCT) of FPO versus conventional intrapartum monitoring has validated its use to reduce caesarean section rates for nonreassuring fetal status. An Australian multicentre RCT is currently underway. Maternal satisfaction rates with FPO are high. FPO may be used during labour when the electronic fetal heart rate trace is nonreassuring or when conventional monitoring is unreliable, such as with fetal arrhythmias. If the fetal oxygen saturation (FSpO2) values are < 30%, prompt obstetric intervention is indicated, such as fetal scalp blood sampling or delivery FSpO2 monitoring should not form the sole basis of intrapartum fetal welfare assessment. Rather, the whole clinical picture should be considered.
Authors:
Christine E East; Paul B Colditz; Lisa M Begg; Shaun P Brennecke
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  42     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-06-18     Completed Date:  2002-12-13     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  119-24     Citation Subset:  IM    
Affiliation:
Perinatal Research Centre, The University of Queensland, Royal Women's Hospital, Brisbane, Australia.
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MeSH Terms
Descriptor/Qualifier:
Female
Fetal Blood
Fetal Hypoxia / diagnosis*
Fetal Monitoring / methods*
Heart Rate / physiology
Humans
Labor, Obstetric
Oximetry / methods*
Oxygen / blood*
Pregnancy
Randomized Controlled Trials as Topic
Sensitivity and Specificity
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

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


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