Document Detail

Use of fetal electrocardiogram for intrapartum monitoring.
MedLine Citation:
PMID:  17597967     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Intrapartum fetal monitoring is essential for the identification of fetal hypoxia to reduce perinatal morbidity and mortality. Cardiotocography is associated with low specificity for fetal acidosis and poor perinatal outcome leading to unnecessary operative deliveries. ST waveform analysis of the fetal electrocardiogram has been shown to be a promising adjunctive intrapartum assessment tool. We aim to present the pathophysiology, the role of intrapartum monitoring and the practical usage of this relatively new technology in our review. METHODS: An electronic search of Medline and OVID was carried out, followed by a manual search of the references identified by the electronic search. RESULTS: The incorporation of ST waveform analysis to cardiotocography has been shown to reduce the rates of neonatal metabolic acidosis, moderate and severe neonatal encephalopathy, thus improving perinatal outcome. The reduction in operative delivery rates due to fetal distress is also significant. The pathophysiology and practical usage of this technology were discussed. CONCLUSIONS: With more accurate identification of fetal hypoxia and reduction of unnecessary intervention rates, incorporation of ST waveform analysis of fetal electrocardiography into cardiotocography can improve the standard of intrapartum fetal monitoring.
Lin-Lin Su; Yap-Seng Chong; Arijit Biswas
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  36     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-28     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  416-20     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
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MeSH Terms
Electrocardiography / utilization*
Fetal Hypoxia / diagnosis*
Fetal Monitoring / instrumentation,  methods*

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