2002
DOI: 10.1097/00005237-200206000-00004
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Electronic Fetal Monitoring of the Preterm Fetus

Abstract: Following an analysis of the literature, this article reviews the current practices, guidelines, and recommendations for electronic fetal monitoring of the preterm fetus. The physiologic aspects of fetal heart rate control, electronic fetal monitor parameters, and differences between the preterm and term fetus are discussed. Clearly identified is the need for clinical research regarding electronic fetal monitoring of the preterm fetus to establish evidence-based practice guidelines.

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Cited by 5 publications
(5 citation statements)
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“…As gestational age progresses, maturation of the parasympathetic nervous system leads to a decrease in baseline FHR, although it generally remains within the normal range of 110 to 160 bpm. In preterm fetuses, baseline FHR is close to the generally accepted upper limit of normality, and as noted, decreases as gestation proceeds [ 9 ]. Shuffrey et al [ 10 ] published the largest longitudinal study carried out to date to analyze changes in FHR, variability, and fetal body movements throughout gestation in healthy fetuses.…”
Section: Resultsmentioning
confidence: 86%
“…As gestational age progresses, maturation of the parasympathetic nervous system leads to a decrease in baseline FHR, although it generally remains within the normal range of 110 to 160 bpm. In preterm fetuses, baseline FHR is close to the generally accepted upper limit of normality, and as noted, decreases as gestation proceeds [ 9 ]. Shuffrey et al [ 10 ] published the largest longitudinal study carried out to date to analyze changes in FHR, variability, and fetal body movements throughout gestation in healthy fetuses.…”
Section: Resultsmentioning
confidence: 86%
“…While a normal CTG indicates reassuring fetal status a suspicious or pathological CTG is not always in keeping with metabolic acidosis and poor fetal outcome. The poor-positive predictive value of CTG in addition to variation in CTG interpretation can often lead to unnecessary intervention and high-operative delivery rates [11]. …”
Section: Role Of Additional Tests Of Fetal Wellbeing In Monitoringmentioning
confidence: 99%
“…While previous research has focused on fetal electronic monitoring in the term fetus, much less is known about the interpretation of the preterm fetus (15). In order to improve surveillance of the preterm fetus at risk, it would be valuable to know whether FECG analysis earlier in gestation also can identify the compromised fetus, similar to that previously demonstrated in more mature fetuses.…”
mentioning
confidence: 99%