| A randomized controlled trial to compare three types of fetal scalp electrode. | |
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MedLine Citation:
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PMID: 1581275 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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L Needs; A Grant; J Sleep; S Ayers; G Henson |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: British journal of obstetrics and gynaecology Volume: 99 ISSN: 0306-5456 ISO Abbreviation: Br J Obstet Gynaecol Publication Date: 1992 Apr |
Date Detail:
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Created Date: 1992-06-16 Completed Date: 1992-06-16 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7503752 Medline TA: Br J Obstet Gynaecol Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 302-6 Citation Subset: AIM; IM |
Affiliation:
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Maternity Unit, Royal Berkshire Hospital, Reading. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Electrodes* Female Fetal Monitoring / instrumentation* Heart Rate, Fetal Humans Pregnancy Scalp / injuries |
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