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Belittling of a significant decline in neonatal metabolic acidosis rate achieved by STAN monitoring.

Olofsson, Per LU (2016) In Acta Obstetricia et Gynecologica Scandinavica 95(5). p.604-605
Abstract
Blix et al. found in a recent meta-analysis (MA) that intrapartum fetal surveillance with ECG ST analysis (STAN) results in a significant 36% decrease in metabolic acidosis at birth compared to cardiotocography (CTG) alone (1). This demonstrates that STAN monitoring could better than CTG alone protect against hypoxia proceeding to metabolic acidosis. However, by referring to the weak association between metabolic acidosis and "hard endpoints" like death and neurological sequelae, Blix et al. belittle their finding. Approximately 80% of neurological sequelae are not associated with intrapartum events (2) and intrapartum fetal monitoring will then not be protective, but intrapartum hypoxia with metabolic acidosis is causal among the... (More)
Blix et al. found in a recent meta-analysis (MA) that intrapartum fetal surveillance with ECG ST analysis (STAN) results in a significant 36% decrease in metabolic acidosis at birth compared to cardiotocography (CTG) alone (1). This demonstrates that STAN monitoring could better than CTG alone protect against hypoxia proceeding to metabolic acidosis. However, by referring to the weak association between metabolic acidosis and "hard endpoints" like death and neurological sequelae, Blix et al. belittle their finding. Approximately 80% of neurological sequelae are not associated with intrapartum events (2) and intrapartum fetal monitoring will then not be protective, but intrapartum hypoxia with metabolic acidosis is causal among the remaining 10-20% of cases (2). This article is protected by copyright. All rights reserved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Obstetricia et Gynecologica Scandinavica
volume
95
issue
5
pages
604 - 605
publisher
Wiley-Blackwell
external identifiers
  • PMID:26840478
  • Scopus:84959261668
  • WOS:000374349400017
ISSN
1600-0412
DOI
10.1111/aogs.12861
language
English
LU publication?
yes
id
20533528-2e5e-42f8-ad39-84ea3c6181d6 (old id 8829411)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26840478?dopt=Abstract
date added to LUP
2016-03-01 13:30:21
date last changed
2016-10-13 04:24:10
@misc{20533528-2e5e-42f8-ad39-84ea3c6181d6,
  abstract     = {Blix et al. found in a recent meta-analysis (MA) that intrapartum fetal surveillance with ECG ST analysis (STAN) results in a significant 36% decrease in metabolic acidosis at birth compared to cardiotocography (CTG) alone (1). This demonstrates that STAN monitoring could better than CTG alone protect against hypoxia proceeding to metabolic acidosis. However, by referring to the weak association between metabolic acidosis and "hard endpoints" like death and neurological sequelae, Blix et al. belittle their finding. Approximately 80% of neurological sequelae are not associated with intrapartum events (2) and intrapartum fetal monitoring will then not be protective, but intrapartum hypoxia with metabolic acidosis is causal among the remaining 10-20% of cases (2). This article is protected by copyright. All rights reserved.},
  author       = {Olofsson, Per},
  issn         = {1600-0412},
  language     = {eng},
  number       = {5},
  pages        = {604--605},
  publisher    = {ARRAY(0xac5f250)},
  series       = {Acta Obstetricia et Gynecologica Scandinavica},
  title        = {Belittling of a significant decline in neonatal metabolic acidosis rate achieved by STAN monitoring.},
  url          = {http://dx.doi.org/10.1111/aogs.12861},
  volume       = {95},
  year         = {2016},
}