Vibroacoustic stimulation for fetal assessment in labour in the presence of a nonreassuring fetal heart rate trace

Abstract

There are currently no randomised controlled trials that address the safety and efficacy of VAS used to assess fetal well-being in labour in the presence of a nonreassuring CTG trace. Although VAS has been proposed as a simple, non-invasive tool for assessment of fetal well-being, there is insufficient evidence from randomised trials on which to base recommendations for use of VAS in the evaluation of fetal well-being in labour in the presence of a nonreassuring CTG trace.

Clinical algorithms for management of fetal heart rate abnormalities during labour

“…We screened the 55 review titles and abstracts and selected 13 for consideration for inclusion. 6,8,10,[23][24][25][26][27][28][29][30][31][32] We identified 25 trials not included in the above reviews, and selected nine for potential inclusion. [33][34][35][36][37][38][39][40][41] The PubMed searches identified 12 relevant non-Cochrane systematic reviews and trials.…”

“…The Cochrane Library search yielded 55 Cochrane reviews and 727 trials. We screened the 55 review titles and abstracts and selected 13 for consideration for inclusion 6,8,10,23–32 . We identified 25 trials not included in the above reviews, and selected nine for potential inclusion 33–41 .…”

Clinical algorithms for management of fetal heart rate abnormalities during labour

“…We screened the 55 review titles and abstracts and selected 13 for consideration for inclusion. 6,8,10,[23][24][25][26][27][28][29][30][31][32] We identified 25 trials not included in the above reviews, and selected nine for potential inclusion. [33][34][35][36][37][38][39][40][41] The PubMed searches identified 12 relevant non-Cochrane systematic reviews and trials.…”

“…The Cochrane Library search yielded 55 Cochrane reviews and 727 trials. We screened the 55 review titles and abstracts and selected 13 for consideration for inclusion 6,8,10,23–32 . We identified 25 trials not included in the above reviews, and selected nine for potential inclusion 33–41 .…”

A Study of Cardiotocography in Hypertensive Disorders of Pregnancy and Its Correlation with the Neonatal Outcome

“…A VAS can lead to increase in fetal movements and also an increase in the short-term variability in a high-risk pregnancy. 7,8 In computerized CTG, the short-term variability may be used as a predictor of the fetal well-being. 9,10 There are other investigations that may be used to confirm the findings of a nonreactive NST.…”

Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy

“…All the methods resulted similar. Moreover, methods like fetal scalp blood sampling, fetal electrocardiography, and fetal pulse oximetry are invasive, their benefit can be uncertain, and are not widely available or used routinely [ 37 ]. Fetal VAS is a noninvasive technique that does not involve puncture of the amniotic membrane, making it particularly useful in antepartum primary care.…”

Clinical algorithms for management of fetal heart rate abnormalities during labour

“…We screened the 55 review titles and abstracts and selected 13 for consideration for inclusion. 6,8,10,[23][24][25][26][27][28][29][30][31][32] We identified 25 trials not included in the above reviews, and selected nine for potential inclusion. [33][34][35][36][37][38][39][40][41] The PubMed searches identified 12 relevant non-Cochrane systematic reviews and trials.…”

“…The Cochrane Library search yielded 55 Cochrane reviews and 727 trials. We screened the 55 review titles and abstracts and selected 13 for consideration for inclusion 6,8,10,23–32 . We identified 25 trials not included in the above reviews, and selected nine for potential inclusion 33–41 .…”

A Study of Cardiotocography in Hypertensive Disorders of Pregnancy and Its Correlation with the Neonatal Outcome

“…A VAS can lead to increase in fetal movements and also an increase in the short-term variability in a high-risk pregnancy. 7,8 In computerized CTG, the short-term variability may be used as a predictor of the fetal well-being. 9,10 There are other investigations that may be used to confirm the findings of a nonreactive NST.…”

Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy

“…All the methods resulted similar. Moreover, methods like fetal scalp blood sampling, fetal electrocardiography, and fetal pulse oximetry are invasive, their benefit can be uncertain, and are not widely available or used routinely [ 37 ]. Fetal VAS is a noninvasive technique that does not involve puncture of the amniotic membrane, making it particularly useful in antepartum primary care.…”

Clinical algorithms for management of fetal heart rate abnormalities during labour

“…We screened the 55 review titles and abstracts and selected 13 for consideration for inclusion. 6,8,10,[23][24][25][26][27][28][29][30][31][32] We identified 25 trials not included in the above reviews, and selected nine for potential inclusion. [33][34][35][36][37][38][39][40][41] The PubMed searches identified 12 relevant non-Cochrane systematic reviews and trials.…”

“…The Cochrane Library search yielded 55 Cochrane reviews and 727 trials. We screened the 55 review titles and abstracts and selected 13 for consideration for inclusion 6,8,10,23–32 . We identified 25 trials not included in the above reviews, and selected nine for potential inclusion 33–41 .…”

A Study of Cardiotocography in Hypertensive Disorders of Pregnancy and Its Correlation with the Neonatal Outcome

“…A VAS can lead to increase in fetal movements and also an increase in the short-term variability in a high-risk pregnancy. 7,8 In computerized CTG, the short-term variability may be used as a predictor of the fetal well-being. 9,10 There are other investigations that may be used to confirm the findings of a nonreactive NST.…”

Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy

“…All the methods resulted similar. Moreover, methods like fetal scalp blood sampling, fetal electrocardiography, and fetal pulse oximetry are invasive, their benefit can be uncertain, and are not widely available or used routinely [ 37 ]. Fetal VAS is a noninvasive technique that does not involve puncture of the amniotic membrane, making it particularly useful in antepartum primary care.…”