| 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 |
Related Documents
:
|
21755686 - Applying nutrition and physiology to improve reproduction in dairy cattle. 20543326 - Telemedicine fetal phonocardiography surveillance: an italian satisfactory experience. 23557166 - First trimester papp-a levels correlate with sflt-1 levels longitudinally in pregnant w... 21968726 - Effect of pregnancy on the genetic evaluation of dairy cattle. 18617706 - Peak flow values by gestation in women with asthma. 16274606 - Successful birth after injection of frozen human oocytes with frozen epididymal spermat... |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Intracranial dural arteriovenous malformations: results of stereotactic radiosurgery in 17 patients.
Next Document: Ascertaining women's choice of title during pregnancy and childbirth.