Fetal blood sampling in addition to intrapartum ST-analysis of the fetal electrocardiogram: evaluation of the recommendations in the Dutch STAN (R) trial

Autor: Becker, J.H., Westerhuis, M.E.M.H., Sterrenburg, K., Akker, E.S.A. van den, Beek, E. van, Bolte, A.C., Dessel, T.J.H.M. van, Drogtrop, A.P., Geijn, H.P. van, Graziosi, G.C.M., Lith, J.M.M. van, Mol, B.W.J., Moons, K.G.M., Nijhuis, J.G., Oei, S.G., Oosterbaan, H.P., Porath, M.M., Rijnders, R.J.P., Schuitemaker, N.W.E., Wijnberger, L.D.E., Willekes, C., Visser, G.H.A., Kwee, A.
Přispěvatelé: MUMC+: MA Obstetrie Gynaecologie (3), Obstetrie & Gynaecologie, RS: GROW - School for Oncology and Reproduction, Obstetrics and gynaecology, ICaR - Ischemia and repair
Rok vydání: 2011
Předmět:
Zdroj: Becker, J H, Westerhuis, M E M H, Sterrenburg, K, van den Akker, E S A, van Beek, E, Bolte, A C, van Dessel, T J H M, Drogtrop, A P, van Geijn, H P, Graziosi, G C M, van Lith, J M M, Mol, B W J, Moons, K G M, Nijhuis, J G, Oei, S G, Oosterbaan, H P, Porath, M M, Rijnders, R J P, Schuitemaker, N W E, Wijnberger, L D E, Willekes, C, Visser, G H A & Kwee, A 2011, ' Fetal blood sampling in addition to intrapartum ST-analysis of the fetal electrocardiogram: evaluation of the recommendations in the Dutch STAN (R) trial ', BJOG: An International Journal of Obstetrics & Gynaecology, vol. 118, no. 10, pp. 1239-1246 . https://doi.org/10.1111/j.1471-0528.2011.03027.x
Bjog-an International Journal of Obstetrics and Gynaecology, 118(10), 1239-1246. Wiley
BJOG: An International Journal of Obstetrics & Gynaecology, 118(10), 1239-1246. Wiley Online Library
BJOG: An International Journal of Obstetrics and Gynaecology, 118(10), 1239-1246
ISSN: 1470-0328
DOI: 10.1111/j.1471-0528.2011.03027.x
Popis: Objectives To evaluate the recommendations for additional fetal blood sampling (FBS) when using ST-analysis of the fetal electrocardiogram. Design Prospective cohort study. Setting Three academic and six non-academic teaching hospitals in the Netherlands. Population Labouring women with a high-risk singleton pregnancy in cephalic position beyond 36 weeks of gestation. Methods In labouring women allocated to the STAN(R) arm of a previously published randomised controlled trial who underwent one or more FBS during delivery, we assessed whether FBS was performed according to the trial protocol and how fetal acidosis, defined as an FBS pH 60 minutes, and poor electrocardiogram quality, respectively. When the predefined criteria were not met and ST-analysis showed no ST-events, only two incidents of fetal acidosis were seen. Conclusions The performance of FBS is valuable in the advised STAN(R) criteria. When these criteria are not met, performance of FBS does not seem helpful in the detection of fetal acidosis.
Databáze: OpenAIRE
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