Document Detail


A randomized controlled trial to compare three types of fetal scalp electrode.
MedLine Citation:
PMID:  1581275     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To compare three scalp electrodes in respect of need for reapplication, trace quality and scalp trauma. DESIGN: Randomized controlled trial. SETTING: Maternity Unit, Royal Berkshire Hospital, Reading. PARTICIPANTS: 780 women in labour at term, with cephalic fetal presentation, deemed to require electronic fetal heart rate monitoring using a scalp electrode. INTERVENTIONS: Three types of fetal scalp electrode: Rocket-Rolon (double-helix spiral); Hewlett-Packard (double-helix spiral); and Surgicraft-Copeland (clip). MAIN OUTCOME MEASURES: Need for more than one electrode; reason for replacement; trace quality; scalp trauma; direct financial costs. RESULTS: Reapplication was significantly least likely in the Surgicraft-Copeland group (odds ratio vs Hewlett-Packard = 0.61, 95% CI 0.41-0.90; odds ratio vs Rocket-Rolon = 0.43, 95% CI = 0.29-0.62). This reflected a much lower rate of replacement because of detachment. The Hewlett-Packard was, however, least likely to be replaced because of poor trace quality. Interpretable traces were equally common, but trace quality tended to be superior in the Hewlett-Packard group. There was no serious scalp trauma. Difficulty removing the electrode was least often reported in the Hewlett-Packard group, and a mark on the scalp persisted least often in the Rocket-Rolon group. CONCLUSIONS: The Surgicraft-Copeland performed the best overall, and particularly in respect of attachment to the scalp. It appears to be the electrode of choice of the three tested.
Authors:
L Needs; A Grant; J Sleep; S Ayers; G Henson
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of obstetrics and gynaecology     Volume:  99     ISSN:  0306-5456     ISO Abbreviation:  Br J Obstet Gynaecol     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-06-16     Completed Date:  1992-06-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7503752     Medline TA:  Br J Obstet Gynaecol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  302-6     Citation Subset:  AIM; IM    
Affiliation:
Maternity Unit, Royal Berkshire Hospital, Reading.
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MeSH Terms
Descriptor/Qualifier:
Adult
Electrodes*
Female
Fetal Monitoring / instrumentation*
Heart Rate, Fetal
Humans
Pregnancy
Scalp / injuries

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


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