Simultaneous use of intrapartum fetal pulse oximetry and amnioinfusion in meconium stained amniotic fluid

Surveillance du travail dans les situations à risque

“…Oxymétrie. L'oxymétrie peut être utilisée en cas de liquide méconial [77,104,[123][124][125][126]. Ses performances ne sont pas altérées par la présence d'un liquide amniotique méconial contrairement à celles du pH au scalp [104] (NP3).…”

“…Une équipe a comparé, en cas de liquide méconial, l'efficacité de l'association de l'oxymétrie de pouls à l'amnio-infusion (débutée si la saturation était inférieure à 30 % pendant 10 minutes) à la surveillance par enregistrement du RCF continu [124]. Le taux de césariennes pour suspicion d'hypoxie foetale était inférieur dans le groupe oxymétrie et amnio-infusion sans modification du taux global de césariennes.…”

Fetal pulse oximetry: Correlation with intrapartum fetal heart rate patterns and neonatal outcome

“…CTG is a widely employed indirect way of detecting fetal hypoxia based on the response of the fetal nervous system. It may detect the fetus at risk of compromise 5 . However, low specifity in spite of its high sensitivity, variable and inconsistent interpretation even by experts in this field, and being an indirect way of fetal assessment reduce its clinical efficacy.…”

“…It may detect the fetus at risk of compromise. 5 However, low specifity in spite of its high sensitivity, variable and inconsistent interpretation even by experts in this field, and being an indirect way of fetal assessment reduce its clinical efficacy. High rates of false positive findings of CTG have unfortunately led to increased rates of cesarean deliveries due to nonreassuring FHR patterns which are not always accurate indicators of fetal hypoxia.…”

“…4,13,14 A considerable amount of research has been established regarding safety, accuracy and reliability of fetal pulse oximetry in predicting neonatal outcome in a continous and objective manner. 5 It appears to be less invasive although it requires rupture of membranes, and is nontraumatic and easy to apply. 15 Previously designed sensors presented low quality of receiving signals due to skin edema, hair, or poor sensor-skin contact.…”