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Fetal ECG waveform analysis

Rosen, KG; Amer-Wåhlin, Isis LU ; Luzietti, R and Noren, H (2004) In Baillière's Best Practice & Research in Clinical Obstetrics & Gynaecology 18(3). p.485-514
Abstract
Fetal ECG waveform analysis as an adjunct to electronic fetal monitoring (EFM) has developed over the last 3 decades. From a multitude of potential parameters, ST waveform analysis has been documented to provide the information required to shift EFM from a screening device to a diagnostic tool that meets the standards of evidence-based medicine. This chapter details the experimental and clinical evolution of the STAN methodology for intrapartum fetal surveillance. Observational data formed the basis for cardiotocograph (CTG) and ST waveform analysis clinical guidelines. Data from two large, randomized controlled trials (6826 cases) are summarized together with the first analysis of the recently completed EU project of 7823 term fetuses... (More)
Fetal ECG waveform analysis as an adjunct to electronic fetal monitoring (EFM) has developed over the last 3 decades. From a multitude of potential parameters, ST waveform analysis has been documented to provide the information required to shift EFM from a screening device to a diagnostic tool that meets the standards of evidence-based medicine. This chapter details the experimental and clinical evolution of the STAN methodology for intrapartum fetal surveillance. Observational data formed the basis for cardiotocograph (CTG) and ST waveform analysis clinical guidelines. Data from two large, randomized controlled trials (6826 cases) are summarized together with the first analysis of the recently completed EU project of 7823 term fetuses monitored as part of the study to introduce ST analysis into clinical practice. The reduction in the incidence of newborns with marked neurological symptoms is supported by these findings. The detection of ST changes allowed earlier and more consistent intervention. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
labour, perinatal asphyxia, management of, fetal monitoring, evidence-based medicine, fetal ECG
in
Baillière's Best Practice & Research in Clinical Obstetrics & Gynaecology
volume
18
issue
3
pages
485 - 514
publisher
Elsevier
external identifiers
  • wos:000222307800011
  • scopus:3242715111
ISSN
1532-1932
DOI
10.1016/j.bpobgyn.2004.02.008
language
English
LU publication?
yes
id
9b21630f-475d-41c3-b76b-51a9877f1530 (old id 274368)
date added to LUP
2007-10-26 17:10:37
date last changed
2017-09-03 04:43:02
@article{9b21630f-475d-41c3-b76b-51a9877f1530,
  abstract     = {Fetal ECG waveform analysis as an adjunct to electronic fetal monitoring (EFM) has developed over the last 3 decades. From a multitude of potential parameters, ST waveform analysis has been documented to provide the information required to shift EFM from a screening device to a diagnostic tool that meets the standards of evidence-based medicine. This chapter details the experimental and clinical evolution of the STAN methodology for intrapartum fetal surveillance. Observational data formed the basis for cardiotocograph (CTG) and ST waveform analysis clinical guidelines. Data from two large, randomized controlled trials (6826 cases) are summarized together with the first analysis of the recently completed EU project of 7823 term fetuses monitored as part of the study to introduce ST analysis into clinical practice. The reduction in the incidence of newborns with marked neurological symptoms is supported by these findings. The detection of ST changes allowed earlier and more consistent intervention.},
  author       = {Rosen, KG and Amer-Wåhlin, Isis and Luzietti, R and Noren, H},
  issn         = {1532-1932},
  keyword      = {labour,perinatal asphyxia,management of,fetal monitoring,evidence-based medicine,fetal ECG},
  language     = {eng},
  number       = {3},
  pages        = {485--514},
  publisher    = {Elsevier},
  series       = {Baillière's Best Practice & Research in Clinical Obstetrics & Gynaecology},
  title        = {Fetal ECG waveform analysis},
  url          = {http://dx.doi.org/10.1016/j.bpobgyn.2004.02.008},
  volume       = {18},
  year         = {2004},
}