Foetale bewaking intra partum: van stethoscoop naar ST-analyse van het ecg.

Michelle E.M.H. Westerhuis; Sanne M. Strasser; Karel G.M. Moons; Ben Willem J. Mol; Gerard H.A. Visser; Anneke Kwee

Foetale bewaking intra partum: van stethoscoop naar ST-analyse van het ecg.

Translated title of the contribution: Intrapartum foetal monitoring: from stethoscope to ST analysis of the ECG

Michelle E.M.H. Westerhuis, Sanne M. Strasser, Karel G.M. Moons, Ben Willem J. Mol, Gerard H.A. Visser, Anneke Kwee

Research output: Contribution to journal › Review Article › Research › peer-review

4 Citations (Scopus)

Abstract

Since the 1970s, intrapartum monitoring of the distressed foetus has been managed by continuous registration of the foetal heart rate, together with uterine activity (cardiotocogram; CTG). Use of CTG without additional foetal information leads to unnecessary interventions because of the high number of false-positive signals. Foetal blood sampling (FBS) is a solution to this problem, but is not always consistently carried out. Automated ST analysis of the foetal electrocardiogram (STAN method), combined with the CTG, may lead to reduction of metabolic acidosis, fewer interventions and fewer foetal blood samples. A disadvantage of application of the STAN method is that it is based on visual interpretation of the CTG, with large inter- and intraobserver variability. In spite of this shortcoming the method may be promising.

Translated title of the contribution	Intrapartum foetal monitoring: from stethoscope to ST analysis of the ECG
Original language	Dutch
Article number	B259
Pages (from-to)	1278-1283
Number of pages	6
Journal	Nederlands Tijdschrift voor Geneeskunde
Volume	153
Publication status	Published - 1 Dec 2009
Externally published	Yes

Cite this

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title = "Foetale bewaking intra partum: van stethoscoop naar ST-analyse van het ecg.",

abstract = "Since the 1970s, intrapartum monitoring of the distressed foetus has been managed by continuous registration of the foetal heart rate, together with uterine activity (cardiotocogram; CTG). Use of CTG without additional foetal information leads to unnecessary interventions because of the high number of false-positive signals. Foetal blood sampling (FBS) is a solution to this problem, but is not always consistently carried out. Automated ST analysis of the foetal electrocardiogram (STAN method), combined with the CTG, may lead to reduction of metabolic acidosis, fewer interventions and fewer foetal blood samples. A disadvantage of application of the STAN method is that it is based on visual interpretation of the CTG, with large inter- and intraobserver variability. In spite of this shortcoming the method may be promising.",

author = "Westerhuis, {Michelle E.M.H.} and Strasser, {Sanne M.} and Moons, {Karel G.M.} and Mol, {Ben Willem J.} and Visser, {Gerard H.A.} and Anneke Kwee",

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language = "Dutch",

volume = "153",

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T2 - van stethoscoop naar ST-analyse van het ecg.

AU - Westerhuis, Michelle E.M.H.

AU - Strasser, Sanne M.

AU - Moons, Karel G.M.

AU - Mol, Ben Willem J.

AU - Visser, Gerard H.A.

AU - Kwee, Anneke

PY - 2009/12/1

Y1 - 2009/12/1

N2 - Since the 1970s, intrapartum monitoring of the distressed foetus has been managed by continuous registration of the foetal heart rate, together with uterine activity (cardiotocogram; CTG). Use of CTG without additional foetal information leads to unnecessary interventions because of the high number of false-positive signals. Foetal blood sampling (FBS) is a solution to this problem, but is not always consistently carried out. Automated ST analysis of the foetal electrocardiogram (STAN method), combined with the CTG, may lead to reduction of metabolic acidosis, fewer interventions and fewer foetal blood samples. A disadvantage of application of the STAN method is that it is based on visual interpretation of the CTG, with large inter- and intraobserver variability. In spite of this shortcoming the method may be promising.

AB - Since the 1970s, intrapartum monitoring of the distressed foetus has been managed by continuous registration of the foetal heart rate, together with uterine activity (cardiotocogram; CTG). Use of CTG without additional foetal information leads to unnecessary interventions because of the high number of false-positive signals. Foetal blood sampling (FBS) is a solution to this problem, but is not always consistently carried out. Automated ST analysis of the foetal electrocardiogram (STAN method), combined with the CTG, may lead to reduction of metabolic acidosis, fewer interventions and fewer foetal blood samples. A disadvantage of application of the STAN method is that it is based on visual interpretation of the CTG, with large inter- and intraobserver variability. In spite of this shortcoming the method may be promising.

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M3 - Review Article

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AN - SCOPUS:73349118479

SN - 0028-2162

VL - 153

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JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

M1 - B259

ER -

Foetale bewaking intra partum: van stethoscoop naar ST-analyse van het ecg.

Abstract

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