Admission cardiotocography: a randomised controlled trial

Impey, Lawrence; Reynolds, Margaret; MacQuillan, Kathryn; Gates, Simon; Murphy, John F.; Sheil, Orla

doi:10.1016/s0140-6736(03)12464-6

Cited by 81 publications

(89 citation statements)

References 13 publications

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“…Impey et al [6] found 32 % traces as abnormal at admission. In Scottish study, abnormal traces were found in 14 % cases, and in our study, 63 % mothers had abnormal fetal heart rate.…”

Section: Discussionmentioning

confidence: 97%

Admission Cardiotocography: A Predictor of Neonatal Outcome

Bhartiya

Sharma

Kumar³

et al. 2016

J Obstet Gynecol India

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Background Screening for fetal distress is a big challenge for obstetricians. Labor admission test by cardiotocography (CTG) can be utilized to differentiate between mothers, in whom continuous fetal monitoring is needed and those who can be managed by intermittent auscultation. Admission CTG is commonly used screening test which aims to identify on admission to the delivery unit the fetus at increased risk of intrapartum hypoxia. We conducted a study to evaluate the efficacy of CTG in low-and high-risk women. Methods A prospective longitudinal study was conducted on 200 low-risk and high-risk antenatal women, beyond 32-week gestation with live pregnancy in labor and admitted in labor ward.

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“…Impey et al [6] found 32 % traces as abnormal at admission. In Scottish study, abnormal traces were found in 14 % cases, and in our study, 63 % mothers had abnormal fetal heart rate.…”

Section: Discussionmentioning

confidence: 97%

Admission Cardiotocography: A Predictor of Neonatal Outcome

Bhartiya

Sharma

Kumar³

et al. 2016

J Obstet Gynecol India

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“…Admission cardiotocography is widely used as labor admission test to identify pregnancies that might benefit from continuous fetal electronic monitoring, but it has low sensitivity and positive predictive value and does not improve neonatal outcome in routine use 1,2 . Addition of fetal vibroacoustic stimulation (VAS) has been reported to increase the sensitivity and decrease false-positive results 3 .…”

mentioning

confidence: 99%

Vibroacoustic stimulation and modified fetal biophysical profile for early intrapartum fetal assessment

Sood¹,

Singh

2011

J Obstet Gynecol India

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Objectives: To evaluate the efficacy of vibroacoustic stimulation (VAS) and modified fetal biophysical profile (mFBP) for early intrapartum fetal assessment and prediction of adverse perinatal outcome. Methods: In this prospective study, 210 women who were in latent phase of labor at the time of admission to the labor unit were subjected to VAS/mFBP, in which fetal startle response and fetal heart acceleration under combined B/M mode ultrasonography following VAS were observed. The results of VAS/mFBP were correlated with adverse perinatal outcome. Standard "fourfold" format was used to calculate various diagnostic values. Results: Mean testing time was 4.86+0.72 min. Of the 210 fetuses subjected to VAS/ mFBP, 200 (95.2%) were reactive and 10 (4.8%) nonreactive. There were 198 (94.3%) favorable and 12 (5.7%) adverse perinatal outcomes. VAS/mFBP had: sensitivity 66.7%, specificity 99.0%, positive predictive value 80.0%, negative predictive value 98.0%, and accuracy 97.2%. Conclusions: Because of its simplicity, ease of administration, short testing time, noninvasiveness, and high accuracy VAS/mFBP for early intrapartum fetal assessment is a reliable diagnostic approach.

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“…A 30 minute CTG on admission to primarily exclude fetal risk and verify contractions is considered useful [43]. If the pregnancy is risk-free and the CTG performed during earlystage labor was unremarkable, the interval for electronic fetal surveillance intrapartum can range from once every 30 minutes up to a maximum of every two hours (minimum duration of reading at least 30 minutes); if it is not possible to take a reading, monitoring should be done by auscultation (at least 10 minutes with strict documentation) [41,90].…”

Section: Indications Intrapartummentioning

confidence: 99%

S1-Guideline on the Use of CTG During Pregnancy and Labor

Schneider¹

2014

Geburtshilfe Frauenheilkd

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The aim of this consensus paper is to standardize the use of cardiotocograms (CTG) in fetal monitoring using an evidence-based approach. Recommended standards take the impact of disturbances and other influencing variables on the CTG into account, use standard definitions and objective assessment methods, and look at upstream diagnostic procedures and adjunct monitoring methods. The target audience for this consensus paper are all professionals who use CTG readings to monitor pregnancies and childbirth, most notably gynecologists and midwives. Method: This guideline was compiled with particular reference to and in consideration of previous recommendations [85], the FIGO guidelines [59, 82], and the guidelines of the Royal College of Obstetricians and Gynaecologists [84], the NICHD [72], the Society of Obstetrics and Gynecologists Canada [110] and the American College of Obstetricians and Gynecologists [4, 5] as well as evidence-based data, where available. The basis for this guideline is the best available "evidence" which was carefully collected and classified by the members of the consensus group. It was not possible in every case to compile recommendations directly from the evidence level provided in the available literature. The recommendations show what is generally considered good clinical practice, so far as this was not queried by the persons involved in the consensus process. With regard to the requirements speci

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Admission cardiotocography: a randomised controlled trial

Cited by 81 publications

References 13 publications

Admission Cardiotocography: A Predictor of Neonatal Outcome

Admission Cardiotocography: A Predictor of Neonatal Outcome

Vibroacoustic stimulation and modified fetal biophysical profile for early intrapartum fetal assessment

S1-Guideline on the Use of CTG During Pregnancy and Labor

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