The effect of modern intensive monitoring in obstetrics on infant mortality and the incidence of hypoxia and acidosis

Hochuli, E; Eberhard, Johanna M.; Dubler, O

doi:10.1515/jpme.1976.4.2.78

Cited by 11 publications

(4 citation statements)

References 9 publications

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“…However, the low perinatal mortality and the low frequency of newborns with an Apgar score less than 7 at 1 minutes (4.5 per cent) and 5 minutes (0.8 per cent) may suggest the benefit of intensive fetal monitoring. Hochuli et al (7), in a review article, found a better fetal outcome of newborns who had been monitored during labor and delivery. However, to which categories of patients fetal monitoring should be restricted, if a restriction shall be made, seems unsettled (5).…”

Section: Discussionmentioning

confidence: 99%

A one‐year study of routine fetal heart rate monitoring during the first stage of labor

Ingemarsson

Solum

et al. 1980

Acta Obstet Gynecol Scand

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At the Department of Obstetrics and Gynecology, University Hospital, Lund, Sweden 90 per cent of all deliveries are monitored with cardiotocography (CTG). The fetal heart rate recording (FHR) together with various pregnancy- and delivery data, are continuously analysed. The present paper is an account of FHR changes during the first stage of labor of all patients registered during 1977. FHR-changes occurred already during the 1st stage of labor in more than 90 per cent of all deliveries where the newborns' Apgar score was less than 7 at 1 minute. Tachycardia, silent pattern, and late and combined decelerations, rarely occurred in the material, but were dominant at deliveries where the newborns' Apgar score was less than 7 at 1 and 5 minutes. This relationship was even more pronounced when these changes occurred together.

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Section: Discussionmentioning

confidence: 99%

A one‐year study of routine fetal heart rate monitoring during the first stage of labor

Ingemarsson

Solum

et al. 1980

Acta Obstet Gynecol Scand

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“…Table 1 describes the approaches used and the findings of the non-experimental research. Most used a times series design, comparing a time period prior to the introduction of intrapartum CTG monitoring with a period following introduction of CTG monitoring, 24,25,[32][33][34][35][36][37][38][39][40][41][42][43][44][45] which always favoured CTG use among women at risk. The remaining studies used cross-sectional design.…”

Section: Research Approachesmentioning

confidence: 99%

Intrapartum cardiotocograph monitoring and perinatal outcomes for women at risk: Literature review

et al. 2020

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Problem: Caesarean section rates have risen in high-income countries. One of the potential drivers for this is the widespread use of CTG monitoring. Background: Intrapartum cardiotocograph monitoring is considered to be indicated for women at risk for poor perinatal outcome. Aim: This systematic literature review with meta-analysis examined randomised controlled trials and non-experimental research to determine whether cardiotocograph monitoring rather than intermittent auscultation during labour was associated with changes in perinatal mortality or cerebral palsy rates for high-risk women. Methods: A systematic search for research published up to 2019 was conducted using PubMed, CINAHL, Cochrane, and Web of Science databases. Non-experimental and randomised controlled trial research in populations of women at risk which compared intrapartum cardiotocography with intermittent auscultation and reported on stillbirth, neonatal mortality, perinatal mortality and/or cerebral palsy were included. Relative risks were calculated from extracted data, and meta-analysis of randomised controlled trials was undertaken. Findings: Nine randomised controlled trials and 26 non-experimental studies were included. Metaanalysis of pooled data from RCTs in mixed-and high-risk populations found no statistically significant differences in perinatal mortality rates. The majority of non-experimental research was at critical risk of bias and should not be relied on to inform practice. Cardiotocograph monitoring during preterm labour was associated with a higher incidence of cerebral palsy. Discussion: Research evidence failed to demonstrate perinatal benefits from intrapartum cardiotocograph monitoring for women at risk for poor perinatal outcome. Conclusion: There is an urgent need for well-designed research to consider whether intrapartum cardiotocograph monitoring provides benefits.

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“…The intrapartum fetal death rate was 0.511 000 in monitored patients compared with 2.411 000 in the unmonitored groups. Perinatal mortality and morbidity is reported to be reduced (2,9,40,56,73,97,100,107,109,110). Parer (104) found in the uncontrolled trials half the neonatal mortality in monitored labors than in nonmonitored.…”

Section: Eva Ingernarssonmentioning

confidence: 99%

Routine electronic fetal monitoring during labor

Ingemarsson

1981

Acta Obstet Gynecol Scand

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The effect of modern intensive monitoring in obstetrics on infant mortality and the incidence of hypoxia and acidosis

Cited by 11 publications

References 9 publications

A one‐year study of routine fetal heart rate monitoring during the first stage of labor

A one‐year study of routine fetal heart rate monitoring during the first stage of labor

Intrapartum cardiotocograph monitoring and perinatal outcomes for women at risk: Literature review

Routine electronic fetal monitoring during labor

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