Fetal ECG waveform analysis
(2004) In Best Practice and Research: 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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/274368
- author
- Rosen, KG ; Amer-Wåhlin, Isis LU ; Luzietti, R and Noren, H
- organization
- publishing date
- 2004
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- labour, perinatal asphyxia, management of, fetal monitoring, evidence-based medicine, fetal ECG
- in
- Best Practice and Research: Clinical Obstetrics Gynaecology
- volume
- 18
- issue
- 3
- pages
- 485 - 514
- publisher
- Elsevier
- external identifiers
-
- wos:000222307800011
- scopus:3242715111
- pmid:15183142
- ISSN
- 1878-156X
- 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
- 2016-04-01 16:59:09
- date last changed
- 2022-04-15 08:26:05
@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 = {{1878-156X}},
keywords = {{labour; perinatal asphyxia; management of; fetal monitoring; evidence-based medicine; fetal ECG}},
language = {{eng}},
number = {{3}},
pages = {{485--514}},
publisher = {{Elsevier}},
series = {{Best Practice and Research: Clinical Obstetrics Gynaecology}},
title = {{Fetal ECG waveform analysis}},
url = {{http://dx.doi.org/10.1016/j.bpobgyn.2004.02.008}},
doi = {{10.1016/j.bpobgyn.2004.02.008}},
volume = {{18}},
year = {{2004}},
}