Fetal pulse oximetry: correlation between changes in oxygen saturation and neonatal outcome. Preliminary report on 39 cases

Carbonne, Bruno; Audibert, François; Segard, L; Sebban, E; Cabrol, D.; Papiernik, E

doi:10.1016/0028-2243(94)90046-9

Cited by 24 publications

(6 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study we evaluated the accuracy of fetal pulse oximetry in cases with normal as well as abnormal FHR tracings during the second stage of labor. The mean duration of acceptable signals was 65.4 B 13.9% of the duration of the second stage of labor, better than that reported by other authors [4,10], and much better than the first studies on oximetry which reported high quality signals sometimes close to 10% of the duration of labor [11].…”

Section: Discussionmentioning

confidence: 67%

“…The variable between this group of patients was around the mean value. Carbonne et al [4] noticed a variability (13.8%) in cases with abnormal FHR. In this study we considered the normal lower value of fetal saturation to be 30%, based on studies in animals and humans.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the intrapartum fetal arterial oxygen saturation (FSpO 2 ), as measured by fetal pulse oximetry, has been assumed to improve the assessment of fetal well-being that was often misjudged by suspicious cardiotocographic readings [3,4].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of Fetal Heart Rate Patterns during the Second Stage of Labor through Fetal Oximetry

Salamalekis

Vitoratos²,

Loghis³

et al. 1999

Gynecol Obstet Invest

View full text Add to dashboard Cite

The purpose of this study was to assess the feasibility and accuracy of fetal pulse oximetry during the second stage of labor in cases with abnormal fetal heart rate (FHR) patterns with reference to postpartum acid-base status and Apgar scores. Forty-eight parturients with normal and 20 parturients with abnormal FHR tracings during the second stage of labor were monitored by fetal pulse oximetry and postpartum umbilical artery pH, pO₂, pCO₂ values and 1- and 5-min Apgar scores. The mean SpO₂ value was 55.47 ± 9.95% in cases with normal and 52.55 ± 16.42% in cases with abnormal FHR patterns. A significant correlation was noted between fetal SpO₂ and umbilical artery pH in cases with normal (r = 0.76, p < 0.05) as well as in cases with abnormal FHR patterns (r = 0.78, p < 0.05). No significant correlation was found between fetal SpO₂ and Apgar scores at 1 and 5 min in cases with normal FHR patterns. On the contrary a significant correlation was noted in cases with abnormal FHR patterns. A normal FHR pattern alone is reassuring. In cases with abnormal FHR, fetal pulse oximetry is an objective method for distinguishing a hypoxic fetus.

show abstract

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Fetal Heart Rate Patterns during the Second Stage of Labor through Fetal Oximetry

Salamalekis

Vitoratos²,

Loghis³

et al. 1999

Gynecol Obstet Invest

View full text Add to dashboard Cite

show abstract

“…8,9 Most prior studies focused on evaluating the feasibility and validity as well as correlating the fetal pulse oximetry values with fetal acid-base balance. [10][11][12] Only a few, small prior studies have evaluated the predictive value of fetal pulse oximetry for patients with abnormal FHR. [13][14][15] Further, the fetal pulse oximetry sensors have evolved with newer models seemingly providing reliable real-time measurements of fetal arterial oxygen oxygen saturation levels during active labor.…”

Section: Introductionmentioning

confidence: 99%

Fetal Pulse Oximetry and Neonatal Outcome: A Study in a Developing Country

2005

View full text Add to dashboard Cite

show abstract

“…Die Herzfrequenz war inte rmitt ierend mit 130-150 pro min über das CTG auskultierbar, konn te aber nicht adä qua t dokumentiert we rden.Obwohl ein kriti scher intrapartaler Sauerstoffsättigungswert nicht klar definiert ist, zeigte n bisherige Beobachtungen, daß ein gutes neonatales Outcome mit ein em durch schnittlichen Saue rstoffsätt igungswert von über 30 % verbunden ist 161. Carbonne et al[3 ] haben einen Desaturationsindex beschri eben , w elcher in ihrem Pati entengut mit Nabelschnur-pH-Werten und Apgar-Score s signifikant korre lierte. Die Korrelation zw ischen pu lsoximetrischen Messungen und den pH-Werten konnte jedoch von Haeu sler et al nicht reproduziert werden 191.…”

unclassified

Vergleich von Reflexionspulsoximetrie und von Kardiotokographie zur intrapartalen Überwachung bei fetaler Arrhythmie und kardialem Vitium

Arikan¹,

Etschmaier²,

Schöll³

et al. 1997

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

Zusammenfassung: Die Ka rdiotokographie ste llt gegenwärtig das Sta nda rdve rfa hren bei der intrapartalen Übe rwachung des Feten dar. Bei eine r fetalen Arrhythmie ist dieses Verfahren alle rdings nur eingeschränkt einse tz ba r. Desh alb mü sse n oft mehr er e Fetalblutproben e nt no mme n oder prim är eine Seet io a bdo mina lis durchgeführt werde n. Im vorlieg end en Bericht wird die int ra pa rta le Übe rwachung eines Fete n mit vent rikulärer Arrhythmie und einer kardiale n Malform at ion -e nts preche nd eine r Uhl-Anom alie -präsentiert. Oie intrap ar tale Übe rwachung w urde mittels Kardioto kographie und Reflexionspulsoxime t rie durch geführt. Die Kardiotokograph iesignal e wa ren ledi glich für 11% de r Überwachungsze it int erpreti erb ar. Das Pulsoximeter e rmittelte für 51 % der Zeit valide Sign ale bei stabil verla ufe ndem Saue rsto ffsättigungss piege l. Das Kind w urde a ufgr und prot rahierte r Austreibungsphase per forci pem e ntbunde n.Comparislon of Reflection Pulse Oxlmetry and Cardiotocography tor Intrapartal Surveillance in Presence of Fetal Arrhythmia and Cardlac Malformation -A Case Report: Cardiotocog raphy is cur rent ly th e sta ndard me t hod for int rap ar tal surve illance . However, a pplicability of thi s method ls limited in presen ce of fetal a rrhyt hmia. Therefor e, in fetuses with a rrhyt hmia , seve ral feta l blood a nalyses o r prim ar y Caesarean sectio n have t o be per form ed. This rep ort prese nts th e intrapar t al su rveillance of a fetus wit h ve nt ricular a rrhyt hm ia a nd a card iac malformati on wh ich is suspe cted to be a n Uhl's ano ma ly. The intrap artal surve illance was pe rformed by ca rdiotocography a nd reflection pulse oximetry. The fetal heart rate tr ace was int erpreta ble only 11 % of surve illance t ime . The pulse oximeter provided 51 % of t he t ime va lid signa ls wit h a sta ble oxygen satu ratt on level. Due t o prolon ged seco nd sta ge of lab ou r a force ps ext raction was performed.Einleitung

show abstract

Fetal pulse oximetry: correlation between changes in oxygen saturation and neonatal outcome. Preliminary report on 39 cases

Cited by 24 publications

References 4 publications

Evaluation of Fetal Heart Rate Patterns during the Second Stage of Labor through Fetal Oximetry

Evaluation of Fetal Heart Rate Patterns during the Second Stage of Labor through Fetal Oximetry

Fetal Pulse Oximetry and Neonatal Outcome: A Study in a Developing Country

Vergleich von Reflexionspulsoximetrie und von Kardiotokographie zur intrapartalen Überwachung bei fetaler Arrhythmie und kardialem Vitium

Contact Info

Product

Resources

About