Fetal Pulse Oximetry and Cesarean Delivery

Bloom, Steven L.; Spong, Catherine Y.; Thorn, E; Varner, Michael W.; Rouse, Dwight J.; Weininger, Sandy; Ramin, Susan M.; Caritis, Steve N.; Peaceman, Alan M.; Sorokin, Yoram; Sciscione, Anthony; Carpenter, Mick; Mercer, Brian M.; Thorp, John M.; Malone, Fergal D.; Harper, Margaret; Iams, Jay D.; Anderson, Garland

doi:10.1097/01.ogx.0000259280.11170.61

Cited by 13 publications

(18 citation statements)

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“…16 We estimated that with the same power and type I error rate, our sample size would also be sufficient to detect a 10% reduction in the cesarean-delivery rate in the open group. Given a cesareandelivery rate for nonreassuring fetal status as low as 5%, there was adequate power (88%) to detect a 25% reduction in cesarean delivery for this specific indication.…”

Section: Discussionmentioning

confidence: 95%

A Randomized Trial of Intrapartum Fetal ECG ST-Segment Analysis

Belfort

Saade

Thom

et al. 2015

Obstetrical &Amp; Gynecological Survey

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Section: Discussionmentioning

confidence: 95%

A Randomized Trial of Intrapartum Fetal ECG ST-Segment Analysis

Belfort

Saade

Thom

et al. 2015

Obstetrical &Amp; Gynecological Survey

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“…Although the cesarean section rate for imminent hypoxia was lower in the pulse oximetry group, the overall rate remained unchanged. A study published in 2006 [10] compared more than 5000 women in labor. In one group, pulse oximetry data were displayed to the clinician during labor while the pulse oximetry data for the other group were hidden.…”

Section: Pulse Oximetrymentioning

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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“…In this trial, both patient and labor characteristics were prospectively collected. Using the data from this study 6 , we examined the relationship between BMI and the characteristics of the second stage of labor in nulliparous women at ≥ 36 weeks of gestation.…”

Section: Introductionmentioning

confidence: 99%

Increasing Maternal Body Mass Index and Characteristics of the Second Stage of Labor

Dungan¹

2012

Yearbook of Obstetrics, Gynecology and Women's Health

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Objective-To evaluate the length of the second stage of labor in relation to increasing maternal prepregnancy BMI among nulliparous parturients, and to determine whether route of delivery differs among obese, overweight, and normal weight women reaching the second stage.Methods-We performed a secondary analysis of a multicenter trial of fetal pulse oximetry, conducted among 5,341 nulliparas who were induced or labored spontaneously at 36 weeks or more of gestation. Normal weight was defined as BMI of 18.5-24.9 kg/m 2 , overweight was a BMI of 25.0-29.9 kg/m 2 , and obese was a BMI of 30 kg/m 2 or higher.Results-Of the 5,341 women, 97% had prepregnancy BMI recorded. Of these, 3,739 had a BMI 18.5 kg/m 2 or higher and reached the second stage of labor. Increasing maternal BMI was not associated with second stage duration: normal weight 1.1 hr, overweight 1.1 hr, and obese 1.0 hr (p=0.13) . Among women who reached the second stage, as BMI increased, so did the likelihood that the woman had undergone induction of labor. Even so, the lack of association between Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access

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Fetal Pulse Oximetry and Cesarean Delivery

Cited by 13 publications

References 1 publication

A Randomized Trial of Intrapartum Fetal ECG ST-Segment Analysis

A Randomized Trial of Intrapartum Fetal ECG ST-Segment Analysis

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

Increasing Maternal Body Mass Index and Characteristics of the Second Stage of Labor

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