Effectiveness of pulse oximetry versus fetal electrocardiography for the intrapartum evaluation of nonreassuring fetal heart rate

Valverde, Mercedes; Puertas, Alberto; Lopez-Gallego, María F.; Carrillo, María Paz; Aguilar, Maria Teresa; Montoya, F.

doi:10.1016/j.ejogrb.2011.09.021

Cited by 14 publications

(8 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…41,42 The median sam ple size was 894 patients (range 100-47 062). Fifteen trials (45%) [25][26][27]31,32,36,39,41,[43][44][45][46]49,51,53 included patients at 36 weeks' ges tation or more, and the remaining included patients at 26-42 weeks' gestation. [28][29][30][33][34][35]38,40,50,52,54,56 Twothirds of trials ( 7 3 % ) i n c l u d e d p a t i e n t s w i t h h i g h r i s k p r e g n a n cies, [25][26][27][28][29][30][31][32][33][34]36,38,39,41,44,47,48,50,51,53,54 3 (9%) included patients with low risk ...…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of intrapartum fetal surveillance to improve maternal and neonatal outcomes: a systematic review and network meta-analysis

Wattar

Honess

Bunnewell

et al. 2021

CMAJ

View full text Add to dashboard Cite

BACKGROUND: Cesarean delivery is the most common surgical procedure worldwide. Intrapartum fetal surveil lance is routinely offered to improve neonatal outcomes, but the effects of different methods on the risk of emergency cesarean deliveries remains uncertain. We conducted a systematic review and network metaanalysis to evaluate the effectiveness of different types of fetal surveillance. METHODS:We searched MEDLINE, Embase and CENTRAL until June 1, 2020, for randomized trials evaluating any intrapartum fetal surveillance method. We performed a network metaanalysis within a frequentist framework. We assessed the quality and network incon sistency of trials. We reported primarily INTERPRETATION: Compared with other types of fetal surveillance, intermittent auscultation seems to reduce emer gency cesarean deliveries in labour without increasing adverse neonatal and maternal outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

“…40,42,43,52 Three studies did not report on pregnancy risks. 45,46,49 The inclusion and exclusion criteria of each trial are summarized in Appendix 1, Supplementary Table 1.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of intrapartum fetal surveillance to improve maternal and neonatal outcomes: a systematic review and network meta-analysis

Wattar

Honess

Bunnewell

et al. 2021

CMAJ

View full text Add to dashboard Cite

show abstract

“…The study by Valverde et al . was quite different from the other six RCT in the following matters: FSpO 2 <10% was used as a reference value for delivery intervention (FSpO 2 <30% in the other six RCT), and the values measured during the second stage of labor were also used …”

Section: Rct Of Fpomentioning

confidence: 99%

“…As of 2014, seven RCT of FPO have been reported and they were included in the systematic review by East et al . (Table ) . Of these, five RCT compared FHR monitoring alone with FHR monitoring together with FPO; one RCT compared FHR monitoring, FPO and FSBS with FHR monitoring and FSBS; the remaining RCT compared FHR monitoring and FPO with FHR monitoring and fetal electrocardiography.…”

Section: Rct Of Fpomentioning

confidence: 99%

Reevaluation of intrapartum fetal monitoring using fetal oximetry: A review

Uchida

Kanayama

Kawai

et al. 2018

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Aim:Although several studies reported the measurement of fetal oxygen saturation using fetal pulse oximetry (FPO) for evaluation of the fetal intrapartum condition, a systematic review of the seven randomized controlled trials (RCTs) provided no evidence to support FPO for intrapartum fetal monitoring. In the present review, we re-evaluate an overview for the use of FPO and seven RCTs of FPO. Methods: We reviewed numerous previous reports on FPO and seven RCTs of intrapartum FPO. RCTs were conducted with the main outcome measure being a reduction in the cesarean section rate. Results: The largest trial with 5341 entries failed to show any reduction. The negative result from this RCT may be explained by the use of a different cutoff value for fetal oxygen saturation compared to the other RCT; in addition, there were differences in the indications for cesarean section due to dystocia and in the definition of non-reassuring fetal status (NRFS). An abnormal FPO value, defined as the fetal oxygen saturation value <30% for at least 10 min, is useful for making a diagnosis of fetal acidosis. A newly developed device, an examiner's finger-mounted tissue oximetry, accurately measures tissue oxygen saturation while overcoming the drawbacks of FPO, such as infection risk and slipping off of the sensor during descent of the fetal head. Conclusion: FPO (including the new device) with fetal heart rate monitoring in selected cases of NRFS may reduce the cesarean section rate.

show abstract

“…Использование этой методики позволило в значительной степени снизить число необоснованных оперативных пособий, сократить уровень перинатальной смертности и показатель заболеваний, причиной которых является интранатальная гипоксия [4,11]. Исследования Valverde M. указывают на уменьшение числа экстренного оперативного родоразрешения при применении электронного мониторирования и анализа ST сегмента на электрокардиограмме плода [16]. В то же время, работа Westerhuis с соавт.…”

Section: Amanov Merdan Esengulyevich -Teacher Of English Department Ounclassified

Untitled

2017

PMSE

View full text Add to dashboard Cite

Журнал зарегистрирован Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор) Свидетельство ПИ №ФС77-47745 Периодичность: 2 раза в месяц Издается с 2011 года Территория распространения: зарубежные страны, Российская Федерация

show abstract

Effectiveness of pulse oximetry versus fetal electrocardiography for the intrapartum evaluation of nonreassuring fetal heart rate

Cited by 14 publications

References 9 publications

Effectiveness of intrapartum fetal surveillance to improve maternal and neonatal outcomes: a systematic review and network meta-analysis

Effectiveness of intrapartum fetal surveillance to improve maternal and neonatal outcomes: a systematic review and network meta-analysis

Reevaluation of intrapartum fetal monitoring using fetal oximetry: A review

Untitled

Contact Info

Product

Resources

About