European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Sep 2003
ReviewCurrent status of intrapartum fetal monitoring: cardiotocography versus cardiotocography + ST analysis of the fetal ECG.
Two randomized controlled trials (RCT) on intrapartum fetal monitoring with cardiotocography (CTG) only versus CTG combined with automatic ST segment waveform analysis of the fetal ECG have been performed. In altogether 6826 randomized cases, the odds ratio for operative delivery for fetal distress (ODFD) was 0.65 (95% confidence interval 0.53-0.78) and for metabolic acidosis at birth 0.39 (0.21-0.72), in favor of the CTG+ST method. CTG combined with ST analysis increases the ability of obstetricians to identify fetal hypoxia and to intervene more appropriately, resulting in an improved perinatal outcome.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Sep 2003
Comparative StudyPulse oximetry during labour--does it give rise to hope? Value of saturation monitoring in comparison to fetal blood gas status.
Purpose of this presentation is to show the diagnostic power of fetal pulse oximetry in comparison to the other blood gas parameters from fetal blood samplings (FBS). The distribution of saturation readings in acidotic fetuses and normally oxygenated fetuses should be established. ⋯ The advantage of continuous fetal pulse oximetry surveilling the fetus under suspicion of hypoxia appears limited by the poor diagnostic power of the respiratory parameter saturation itself and by the impairment of the precision of the technology.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Sep 2003
Trial of labour after two or three previous caesarean sections.
To investigate the safety of a trial of labour (TOL) after two or three previous caesarean sections. ⋯ Elective repeat caesarean section is not the only answer to a woman with two or three previous caesarean sections. A trial of labour can be a safe option for a selected group of women.