Advanced

Att förebygga förlossningsasfyxi. Kan vi komma längre med fosterövervakning?

Herbst, Andreas LU (2000) In Läkartidningen 97(32). p.3484-3488
Abstract
Intrapartum death has become a rare event since the introduction of electronic fetal monitoring (EFM). Randomized studies of EFM versus intermittent auscultation show that EFM reduces the risk of low Apgar score at birth and of neonatal seizures, although it may be possible to ensure low perinatal mortality even with intermittent auscultation alone. The rate of operative deliveries may increase with EFM, at least if scalp blood sampling is not used. Since scalp blood sampling is an invasive procedure providing only temporary information, the search goes on for new methods as complements to EFM. Fetal pulse oximetry and ST-analysis of fetal ECG (STAN) are two methods currently being tested in clinical studies. Regardless of the efficiency... (More)
Intrapartum death has become a rare event since the introduction of electronic fetal monitoring (EFM). Randomized studies of EFM versus intermittent auscultation show that EFM reduces the risk of low Apgar score at birth and of neonatal seizures, although it may be possible to ensure low perinatal mortality even with intermittent auscultation alone. The rate of operative deliveries may increase with EFM, at least if scalp blood sampling is not used. Since scalp blood sampling is an invasive procedure providing only temporary information, the search goes on for new methods as complements to EFM. Fetal pulse oximetry and ST-analysis of fetal ECG (STAN) are two methods currently being tested in clinical studies. Regardless of the efficiency of monitoring methods that we may develop, there will always be a need for competent staff at our labor wards. Ongoing training of staff is necessary if asphyxia is to be avoided as far as possible. (Less)
Please use this url to cite or link to this publication:
author
organization
alternative title
Prevention of perinatal asphyxia. Can more be done by fetal monitoring?
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Kardiotokografi, Fosterövervakning, Neonatal asfyxi
in
Läkartidningen
volume
97
issue
32
pages
3484 - 3488
external identifiers
  • pmid:11037592
  • scopus:0034625816
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
1bebb59d-6da8-4a6b-a704-1bcfb295a31b (old id 1116776)
alternative location
http://ltarkiv.lakartidningen.se/artNo21510
date added to LUP
2008-07-02 10:35:37
date last changed
2017-01-01 07:28:34
@article{1bebb59d-6da8-4a6b-a704-1bcfb295a31b,
  abstract     = {Intrapartum death has become a rare event since the introduction of electronic fetal monitoring (EFM). Randomized studies of EFM versus intermittent auscultation show that EFM reduces the risk of low Apgar score at birth and of neonatal seizures, although it may be possible to ensure low perinatal mortality even with intermittent auscultation alone. The rate of operative deliveries may increase with EFM, at least if scalp blood sampling is not used. Since scalp blood sampling is an invasive procedure providing only temporary information, the search goes on for new methods as complements to EFM. Fetal pulse oximetry and ST-analysis of fetal ECG (STAN) are two methods currently being tested in clinical studies. Regardless of the efficiency of monitoring methods that we may develop, there will always be a need for competent staff at our labor wards. Ongoing training of staff is necessary if asphyxia is to be avoided as far as possible.},
  author       = {Herbst, Andreas},
  issn         = {0023-7205},
  keyword      = {Kardiotokografi,Fosterövervakning,Neonatal asfyxi},
  language     = {swe},
  number       = {32},
  pages        = {3484--3488},
  series       = {Läkartidningen},
  title        = {Att förebygga förlossningsasfyxi. Kan vi komma längre med fosterövervakning?},
  volume       = {97},
  year         = {2000},
}