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01-01-2015 | News and Views

Commentary: Intra-partum foetal surveillance in high-risk pregnancies

Author: Kalpana Ragupathy

Published in: Archives of Gynecology and Obstetrics | Issue 1/2015

Excerpt

Continuous intra-partum foetal surveillance is recommended by the National Institute for Health and Care Excellence (NICE) [1] for all high-risk pregnancies and these include maternal indications (e.g. preeclampsia, diabetes, vascular diseases), foetal indications (e.g. intra-uterine growth restriction) and where induction and augmentation of labour is done. The primary intent is to reduce the number of perinatal deaths, neonatal encephalopathy and cerebral palsy secondary to intra-partum foetal hypoxia. …

NICE guideline on intra-partum care: Management and delivery of care to women in labour (CG 55), 2007

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Norén H, Luttkus AK, Stupin JH et al (2007) Fetal scalp pH and ST analysis of the fetal ECG as an adjunct to cardiotocography to predict fetal acidosis in labor—a multi-center, case controlled study. J Perinat Med 35:408PubMedCrossRef

Vayssiere C, Haberstich R, Sebahoun V et al (2007) Fetal electrocardiogram ST-segment analysis and prediction of neonatal acidosis. Int J Gynaecol Obstet 97:110PubMedCrossRef

Amer-Wahlin I, Bordahi P, Eikeland T, Hilisten C et al (2002) ST analysis of the foetal ECG during labour: nordic observational multi-center study. J Matern Fetal Neonatal Med 12(4):260–266PubMedCrossRef

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Costa A, Ayres-de-Campos D, Costa F, Santos C et al (2010) Comparison of a computer system evaluation of intra-partum cardiotocographic events and a consensus of clinicians. J Perinat Med 38:191–195PubMedCrossRef

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Ayres-de-Campos D, Ugwumadu A, Banfield P et al (2010) A RCT of intra-partum foetal monitoring with computer analysis and alerts versus previously available monitoring. BMC Pregnancy Childbirth 10:71PubMedCentralPubMedCrossRef

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Title: Commentary: Intra-partum foetal surveillance in high-risk pregnancies
Author: Kalpana Ragupathy
Publication date: 01-01-2015
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 1/2015
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-014-3430-2

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Commentary: Intra-partum foetal surveillance in high-risk pregnancies

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