Continuous electronic heart rate monitoring for fetal assessment during labor

Thacker, Stephen B.; Stroup, Donna F.; Chang, Man‐Huei

doi:10.1002/14651858.cd000063

Cited by 195 publications

(152 citation statements)

References 25 publications

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“…It is a widely accepted method of foetal monitoring during labour with the goal of identifying foetuses with hypoxia during labour. However, the main risk of widespread application of continuous monitoring has been the observed risk of caesarean delivery noted in retrospective and prospective studies [8,9].…”

Section: Discussionmentioning

confidence: 99%

Caesarean Section for Foetal Distress and Correlation with Perinatal Outcome

Gangwar

Chaudhary

2016

J Obstet Gynecol India

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Background The main documented indication of intrapartum caesarean section is foetal distress (MacKenzie and Cooke in BMJ 323(7318):930, 2001). Foetal distress indicates foetal hypoxia and acidosis during intrauterine life.Purpose To correlate the diagnosis of foetal distress and perinatal outcome. Methods This was a prospective observational study of women who underwent caesarean section for foetal distress as detected by cardiotocography and not responding to intrauterine resuscitation. The foetal Apgar score at 1 and 5 min was recorded and cord blood pH was measured in all cases. The neonatal outcome was studied with regard to the need for supportive ventilation and admission to NICU/ nursery. Results In our study, 14.38 % cases diagnosed with foetal distress subsequently had poor outcome. Twenty-one babies had a 5-min Apgar score\7, required immediate resuscitation and were admitted in NICU. Twelve foetuses had a 1-min Apgar score \4, while there were three cases of severe birth asphyxia (Apgar score \4 at 5 min); of these, two babies died. The neonatal outcome was poorer in cases with associated complicating factors.

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Section: Discussionmentioning

confidence: 99%

Caesarean Section for Foetal Distress and Correlation with Perinatal Outcome

Gangwar

Chaudhary

2016

J Obstet Gynecol India

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“…The first prospective randomized studies were carried out many years ago [30, 36, 38-40, 47, 49, 52, 53, 57, 58, 60, 69, 70, 79, 86, 92, 109] and found no improvement in perinatal outcomes with CTG, even in high-risk cohorts, with the exception of lower rates of neonatal convulsions ( [97,98]; EL I a). The ACOG even came to the conclusion that intermittent auscultation done at prescribed intervals was on a par with CTG monitoring [4].…”

Section: Intrapartummentioning

confidence: 99%

S1-Guideline on the Use of CTG During Pregnancy and Labor

Schneider¹

2014

Geburtshilfe Frauenheilkd

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The aim of this consensus paper is to standardize the use of cardiotocograms (CTG) in fetal monitoring using an evidence-based approach. Recommended standards take the impact of disturbances and other influencing variables on the CTG into account, use standard definitions and objective assessment methods, and look at upstream diagnostic procedures and adjunct monitoring methods. The target audience for this consensus paper are all professionals who use CTG readings to monitor pregnancies and childbirth, most notably gynecologists and midwives. Method: This guideline was compiled with particular reference to and in consideration of previous recommendations [85], the FIGO guidelines [59, 82], and the guidelines of the Royal College of Obstetricians and Gynaecologists [84], the NICHD [72], the Society of Obstetrics and Gynecologists Canada [110] and the American College of Obstetricians and Gynecologists [4, 5] as well as evidence-based data, where available. The basis for this guideline is the best available "evidence" which was carefully collected and classified by the members of the consensus group. It was not possible in every case to compile recommendations directly from the evidence level provided in the available literature. The recommendations show what is generally considered good clinical practice, so far as this was not queried by the persons involved in the consensus process. With regard to the requirements speci

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“…However, research findings indicate that babies born after continuous monitoring are not any healthier than those born after intermittent auscultation (Goer et al, 2007;Thacker & Stroup, 2001). For these reasons, ACOG (2005) and the Association of Women's Health, Obstetric and Neonatal Nurses (2000) say that healthy women with no complications may be monitored with intermittent auscultation or with EFM.…”

Section: Continuous Electronic Fetal Monitoringmentioning

confidence: 99%

Care Practice #4: No Routine Interventions

Lothian

Amis²

2007

jpe

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This updated edition of Care Practice Paper #4 presents the evidence for risks of routinely intervening in normal physiologic labor and birth. The authors review evidence related to the routine use of restrictions on oral intake, intravenous lines, continuous electronic fetal monitoring, artificial rupture of membranes, pharmacologic augmentation of labor, epidural analgesia, and episiotomy. Medical indications for each intervention are listed. Women are encouraged to avoid routine interventions in labor unless interventions are medically indicated.

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Continuous electronic heart rate monitoring for fetal assessment during labor

Cited by 195 publications

References 25 publications

Caesarean Section for Foetal Distress and Correlation with Perinatal Outcome

Caesarean Section for Foetal Distress and Correlation with Perinatal Outcome

S1-Guideline on the Use of CTG During Pregnancy and Labor

Care Practice #4: No Routine Interventions

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