2010
DOI: 10.1097/aog.0b013e3181dfffd6
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Cardiotocography Plus ST Analysis of Fetal Electrocardiogram Compared With Cardiotocography Only for Intrapartum Monitoring

Abstract: I.

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Cited by 109 publications
(44 citation statements)
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“…In one series, although QRS complexes could generally be detected, only about 60% of subjects had interpretable p- and T-wave morphology (3). In general, diagnostic quality ECG signals are only obtained with direct fetal contact, such as with a scalp electrode placed after rupture of the membranes (4, 5). …”
Section: Introductionmentioning
confidence: 99%
“…In one series, although QRS complexes could generally be detected, only about 60% of subjects had interpretable p- and T-wave morphology (3). In general, diagnostic quality ECG signals are only obtained with direct fetal contact, such as with a scalp electrode placed after rupture of the membranes (4, 5). …”
Section: Introductionmentioning
confidence: 99%
“…22 Clinical application of STAN to fetal monitoring began in 1979 and further refinements between 1979 and 1989 to improve signal processing capability then made it possible for clinical trials to be conducted. 23 STAN has now been available in Europe for more than two decades; and there have been several randomized controlled trials (RCTs) 2428 that have suggested its utility in decreasing (i) cord blood acidosis, (ii) need for fetal scalp blood sampling during labor, and (iii) need for operative vaginal delivery and emergency cesarean delivery for fetal indications. In 2006 the Cochrane Library 29 endorsed the use of STAN “when a decision has been made to undertake continuous electronic FHR monitoring during labour”.…”
Section: St Segment Analysismentioning
confidence: 99%
“…In fact, most of the published trials have used different classification systems and have not used a standardized objective measure to classify the fetal heart rate tracing. Most published randomized, controlled trials, 2428 used inconsistent interpretation of the 1987 FIGO-CTG categories 43 and were not constant in their definition of, or response to, ST-segment events. In addition, there was inconsistent use of fetal scalp sampling and intermittent monitoring of the fetal heart rate.…”
Section: The Stan Systemmentioning
confidence: 99%
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“…We detail their use by considering a specific hypothetical subject (described below). The prediction model used in this illustration was developed using data from a randomized clinical trial conducted in the Netherlands [9].…”
Section: Empirical Example: Predicting the Risk Of Operative Deliverymentioning
confidence: 99%