The Dublin randomized controlled trial of intrapartum fetal heart rate monitoring

Patient controlled analgesia for labour: a comparison of remifentanil with pethidine*

“…Pulse oximetry was continuously recorded for the duration of the study and downloaded, and the proportion of time spent below 94% and 90% calculated. The cardiotocograph (CTG) was recorded for a minimum of 1 h after starting the PCA and was subsequently analysed by a blinded obstetrician using the 'Dublin randomised controlled trial' method [16]. The CTGs were therefore categorised as normal, non-reassuring, suspicious, ominous or requiring action.…”

Are Obstetrical Personnel Required for Intraoperative Fetal Monitoring during Nonobstetric Surgery?

“…Because actual acidosis occurs in only 20% of patients with ominous patterns, such as sustained bradycardia or late decelerations, no particular heart rate pattern will serve as a stimulus for immediate delivery. 26 Postmortem cesarean section is the only delivery described in the literature in which the surgeon has been confronted with an intraoperative maternal catastrophe in a nonobstetric surgery. This is because obstetric management dictates that stabilization of the maternal condition is in the best interest of the fetus until a hopeless situation is encountered.…”

TISSUE pH/pC02 AND CONTINUOUS BASE EXCESS MONITORING IN THE HUMAN FETUS

“…When major neurological handicaps are evaluated in the same series even this condition have not been influenced by electronic monitoring in the few randomized trials (1). These results may be explained by the few intrapartum fetal deaths and the few neurologically damaged fetuses in both groups.…”