Use of fetal electrocardiogram for intrapartum monitoring
Annals of the Academy of Medicine, Singapore
; : 416-420, 2007.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-250804
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>INTRODUCTION</b>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.</p><p><b>METHODS</b>An electronic search of Medline and OVID was carried out, followed by a manual search of the references identified by the electronic search.</p><p><b>RESULTS</b>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.</p><p><b>CONCLUSIONS</b>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.</p>
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.2 Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
Problema de saúde:
Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
/
Saúde Ambiental
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Singapura
/
Diagnóstico
/
Eletrocardiografia
/
Hipóxia Fetal
/
Monitorização Fetal
/
Métodos
Tipo de estudo:
Estudo diagnóstico
/
Guia de prática clínica
Limite:
Feminino
/
Humanos
/
Gravidez
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Annals of the Academy of Medicine, Singapore
Ano de publicação:
2007
Tipo de documento:
Artigo