Patient-recorded domiciliary fetal monitoring
| Autor: | L.M. Irvine, I.D. Vellacott, S.Y. Hussain, P.M.S. O'Brien, J.A. Giles, P.C. Lindsay, Y. Tayob, R. Beveridge |
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| Rok vydání: | 1990 |
| Předmět: |
Adult
Risk medicine.medical_specialty Pediatrics medicine.diagnostic_test business.industry Obstetrics and Gynecology Fetal heart Abnormal heart rate Heart Rate Fetal Telephone Fetal monitoring Pregnancy Emergency medicine medicine Humans Cardiotocography Female Neonatal death business Fetal Monitoring |
| Zdroj: | American journal of obstetrics and gynecology. 162(2) |
| ISSN: | 0002-9378 |
| Popis: | Domiciliary fetal monitoring via a telephone link has been in clinical use at the Royal Free Hospital for 2 years, during which time 858 traces of 134 patients who were moderately at risk have been transmitted to the hospital. All recognized abnormal heart rate patterns were detected during the study period. In seven patients obstetric intervention took place on the basis of the domiciliary fetal monitoring recording and subsequent hospital monitoring. There were no intrauterine or neonatal deaths, and there was no overall increase in obstetric operative intervention. There appeared to be a significant reduction in the inconvenience suffered by the patient and her family, compared with conventional monitoring. Fetal heart recordings performed solely by the patient were of a high quality and reduced the demand on midwifery resources. To allow this only 3 hours of midwifery time daily was required and no additional demands on obstetric staff were made. It is anticipated that domiciliary fetal monitoring, performed by patients, will become an essential and established service throughout the United Kingdom (and probably Europe) as the principal means of monitoring fetal well-being. |
| Databáze: | OpenAIRE |
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