Admission tests other than cardiotocography for fetal assessment during labour

Khunpradit, Suthit; Lumbiganon, Pisake; Laopaiboon, Malinee

doi:10.1002/14651858.cd008410.pub2

Cited by 6 publications

(4 citation statements)

References 20 publications

(2 reference statements)

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“…Se encontró una incidencia de cesárea por sufrimiento fetal mayor (RR = 2,2; IC 95%: 1,08-3,77) y mayor riesgo de uso de refuerzo con oxitocina (RR = 1,5; IC 95%: 1,32-1,87) en el grupo evaluado con índice de líquido amniótico (ILA). La medición del ILA incrementó el riesgo de cesárea sin diferencia en los resultados neonatales (20).…”

Section: ¿Cuáles Son Los Exámenes Paraclínicos Que Deben Ser Solicitados Al Momento De La Admisión De La Gestante?unclassified

Guía de práctica clínica para la detección temprana de las anomalías durante el trabajo de parto, atención del parto normal y distócico

Rubio-Romero

Ruíz-Parra

Martínez

et al. 2013

Rev. Colomb. Obstet. Ginecol.

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Objetivo: realizar recomendaciones para detección temprana de las anomalías durante el trabajo de parto, atención del parto normal y distócico.Materiales y métodos: el grupo desarrollador de la Guía (GDG) elaboró esta GPC durante 2011-2012 acorde con la Guía Metodológica para la elaboración de Guías de Atención Integral en el Sistema General de Seguridad Social en Salud colombiano, basándose en la evidencia científica disponible y sumando la participación activa de grupos de pacientes, sociedades científicas y grupos de interés. En particular, la evidencia de esta Guía fue adaptada de la “Guía de práctica clínica sobre la atención del parto normal” (País Vasco - 2010) y actualizada por procedimientos sistemáticos, tanto para la búsqueda y valoración de la evidencia como para la generación de recomendaciones. El nivel de evidencia y la fuerza de las recomendaciones fueron expresados por medio del sistema del Scottish Intercollegiate Guidelines Network (SIGN).Esta guía y sus secciones hacen parte de un grupo de 25 GAI basadas en la evidencia que incorporan consideraciones económicas y de implementabilidad en el contexto del Sistema General de Seguridad Social en Salud colombiano, y que se desarrollaron por iniciativa del Ministerio de Salud y Protección Social y el Departamento de Ciencia, Tecnología e Innovación (Colciencias) en temas prioritarios y de alta prevalencia en el país mediante contrato otorgado a la Universidad Nacional de Colombia en el año 2010.Resultados: se presentan las recomendaciones para la asistencia del trabajo de parto y el parto asociadas con mayor probabilidad de obtener un resultado materno fetal exitoso durante la atención del parto.Conclusiones: se espera que las recomendaciones de esta GPC sean utilizadas por los profesionales de la salud de los programas de atención de la gestación con el fin de disminuir la morbilidad y mortalidad atribuibles a complicaciones del trabajo de parto y el parto.

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Section: ¿Cuáles Son Los Exámenes Paraclínicos Que Deben Ser Solicitados Al Momento De La Admisión De La Gestante?unclassified

Guía de práctica clínica para la detección temprana de las anomalías durante el trabajo de parto, atención del parto normal y distócico

Rubio-Romero

Ruíz-Parra

Martínez

et al. 2013

Rev. Colomb. Obstet. Ginecol.

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“…However, it is cardiotocography that is used in the admission of pregnant women in the emergency services of hospitals around the world. 1 Cardiotocographic monitoring is an accepted examination in obstetric practice that consists of continuous printed or electronic recording of the fetal heart rate and maternal uterine contractions through a monitor placed on the abdominal wall of the mother, which integrates pressure and ultrasound transmission measurements to detect uterine contractions and fetal heart rate, respectively. 2 Analysis of this exam typically involves observation of cardiotocographic tracing parameters such as baseline or the presence of accelerations and decelerations that together provide a basis for classifying the recordings as normal, suspicious, or abnormal, although the terms and criteria vary among medical institutions that establish guidelines for the interpretation of cardiotocography.…”

Section: Introductionmentioning

confidence: 99%

Analysis of antepartum cardiotocography based on S/k proportions and probability in 20 minutes

Velásquez,

Páez,

Herrera

et al. 2022

Rev. Bras. Saude Mater. Infant.

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Objectives: although mortality and perinatal asphyxia in newborns have been considerably reduced, there are still deficiencies in screening and diagnosis methods for intrapartum fetal well being that aim to detect its early alterations. Therefore, the purpose of this research was to apply a methodology based on probability and entropy and confirm its capacity to detect normal and abnormal fetal cardiac dynamics from 20-minute cardiotocographic tracings. Methods: 80 cardiotocographic tracings of pregnant women in the last trimester were collected, of which the minimum and maximum fetal heart rate were evaluated every 10 seconds, as well as its repetitions along with their probability and the diagnostic S/k ratio. Finally, the statistical analysis was carried out to establish the diagnostic capacity of the method concerning the clinical evaluation and interpretation of the cardiotocographic tracing, taken as the Gold Standard. Results: it was confirmed that S/k ratio values differentiated normal from abnormal fetal cardiac dynamics with sensitivity and specificity values of 100% and a Kappa coefficient of 1. Conclusion: the applicability of a diagnostic mathematical method of cardiotocography was confirmed, which suggests its implementation in the clinical context to detect alterations in fetal well-being in 20 minutes.

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“…Cochrane Library search yielded 55 Cochrane reviews and 727 trials. We screened the 55 review titles and abstracts and selected 13 for consideration of inclusion (6,8,10,(23)(24)(25)(26)(27)(28)(29)(30)(31)(32). We identified 25 trials not included in the above The PubMed searches identified twelve relevant non-Cochrane systematic reviews and trials (42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53).…”

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confidence: 99%

Clinical algorithms for management of fetal heart rate abnormalities during labour

Cheung

Bonet

Frank

et al. 2022

BJOG

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To construct algorithms with a sequential decision analysis pathway for monitoring of the fetal heart rate and managing fetal heart ratebradycardia, late decelerations and tachycardia during labour. PopulationLow-risk pregnant women in labour with singleton cephalic term pregnancies. SettingInstitutional births in low-and middle-income countries. Search strategyWe sought relevant published clinical algorithms, guidelines and randomized trials/reviews by searching the Cochrane Library, PubMed and Google on the terms:"fetal AND heart AND rate AND algorithm AND (labour OR intrapartum)", up to March 2020. Case scenariosThe two scenarios included were fetal heart rate bradycardia or late decelerations (potentially related to uterine rupture, placental abruption, cord prolapse, maternal hypotension, uterine hyperstimulation, or unexplained) and fetal heart rate tachycardia (potentially related to maternal hyperthermia, infection, dehydration, or unexplained). The algorithms provided pathways for definition, assessment, diagnosis, interventions to correct the abnormalities and ongoing monitoring leading to mode of birth, and linking to other algorithms in the series. ConclusionsThe algorithms provide a framework for monitoring and managing fetal heart rate bradycardia, late decelerations and tachycardia during labour. We emphasize the inherent diagnostic inaccuracy of fetal heart rate monitoring, the tendency to over-diagnose fetal compromise, the need to consider fetal heart rate information in the context of other clinical features and the need to engage in informed, shared, family-centred decision-making. We note the need for further research on methods of fetal assessment during labour including clinical fetal arousal testing and the rapid biophysical profile test.

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Admission tests other than cardiotocography for fetal assessment during labour

Abstract: Mires 2001 Mires G, Williams F, Howie P. Randomised controlled trial of cardiotocography versus doppler auscultation of fetal heart at admission in labour in low risk obstetric population.

Cited by 6 publications

References 20 publications

Guía de práctica clínica para la detección temprana de las anomalías durante el trabajo de parto, atención del parto normal y distócico

Guía de práctica clínica para la detección temprana de las anomalías durante el trabajo de parto, atención del parto normal y distócico

Analysis of antepartum cardiotocography based on S/k proportions and probability in 20 minutes

Clinical algorithms for management of fetal heart rate abnormalities during labour

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