Advances in Bioengineering and Biomedical Science Research(ABBSR)
ISSN: 2640-4133 | DOI: 10.33140/ABBSR
Impact Factor: 1.7
S Felis
Obstetrics &Gynecology Department - IRCCS, IRCCS San Martino Hospital-Genova, Italy
Publications
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Review Article
Fetal Electrocardiogram: St Waveform Analysis in Intrapartum Surveillance (Analisi Del Tratto St Dell elettrocardiografia Fetale In Travaglio Di Parto)
Author(s): S Felis*, F . Cremonini and E Primizia
ST-analysis of the fetal electrocardiogram (ECG) (STAN (®)) combined with cardiotocography (CTG) for intrapartum fetal monitoring has been developed following many years of animal research. Changes in the ST-segment of the fetal ECG correlated with fetal hypoxia occurring during labor. In 1993 the first randomized controlled trial (RCT), com- paring CTG with CTG + ST-analysis was published. STAN (®) was introduced for daily practice in 2000. To date, six RCTs have been performed, out of which five have been published. Furthermore, there are six published meta-analyses. The meta-analyses showed that CTG + ST-analysis reduced the risks of vaginal operative delivery by about 10% and fetal blood sampling by 40%. There are conflicting results regarding the effect on metabolic acidosis, much because of controveries about which RCTs should be included in a meta-analysis, and because .. Read More»