Does ST analysis of fetal ECG reduce cesarean section rate for fetal distress?

Giovanni Scambia, Gianluca Straface, Vincenzo Zanardo

Risultato della ricerca: Contributo in rivistaArticolo in rivista

2 Citazioni (Scopus)

Abstract

Objective: Each pregravidic, gestational or intrapartum complication may, per se, have a different impact on the operative delivery rate, regardless of which fetal monitoring system was adopted. We wanted to verify if CTG plus ST interval analysis (STAN) of fetal ECG might be able to reduce the number of operative delivery for fetal distress in high-risk pregnancies compared to low-risk women monitored with CTG alone. Materials and methods: In this cohort study, we evaluated 100 high-risk pregnancies consecutively with STAN® S31 (Neoventa Medical, Gotenburg, Sweden) and 160 low-risk pregnancies consecutively with continuous CTG (Hewlett Packard, 50 IP, Palo Alto, CA). Results: We found that STAN monitoring, although associated with a higher total operativity rate, both vaginal (11% versus 3.12%, p = 0.015) and cesarean (17% versus 4.37%, p = 0.001), reduced the cesarean section rate performed for fetal distress (29.41% versus 85.71%, p = 0.023) compared with low-risk CTG monitoring group. Conclusion: CTG plus ST interval analysis of fetal ECG reduced the risk of operative cesarean delivery for fetal distress in high-risk gestations.
Lingua originaleEnglish
pagine (da-a)1799-1802
Numero di pagine4
RivistaTHE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
Volume30
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology and Child Health
  • ST analysis
  • fetal hypoxia
  • high risk pregnancy
  • intrapartum
  • operative delivery

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