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Archives of Gynecology and Obstetrics
Published in: Archives of Gynecology and Obstetrics 5/2013

01-11-2013 | Maternal-Fetal Medicine

Signal quality of non-invasive fetal electrocardiogram in vaginal breech delivery: a case–controlled study

Authors: Nicole Sänger, Frank Louwen, Joscha Reinhard, Juping Yuan, Lars Hanker

Published in: Archives of Gynecology and Obstetrics | Issue 5/2013

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Abstract

Objective

Recently, a non-invasive fetal electrocardiogram monitor has been approved for clinical usage in labour and delivery. To determine the fetal signal quality of vaginal breech deliveries in comparison with a case–controlled cephalic group during labour.

Study design

This case–control study was carried out at the Department of Obstetrics and Gynecology of the University Hospital Frankfurt between 1st July 2012 and 30th September 2012. A total of seven breech deliveries were evaluated. A case–controlled cephalic group with same gestational age and parity were selected from a previous trial.

Results

During first stage of labour, vaginal breech and cephalic delivery had no significant different fetal signal success rates (mean 87.8 vs. 85.7 %; p > 0.05). There was a trend of higher fetal signal success rates in the vaginal breech delivery group during second stage of labour (78.4 vs. 55.4 %; p = 0.08).

Conclusion

Similar fetal signal success rates in vaginal breech delivery in comparison to cephalic presentation were demonstrated using the new commercially available non-invasive abdominal fECG device (the Monica AN24TM).
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Metadata
Title
Signal quality of non-invasive fetal electrocardiogram in vaginal breech delivery: a case–controlled study
Authors
Nicole Sänger
Frank Louwen
Joscha Reinhard
Juping Yuan
Lars Hanker
Publication date
01-11-2013
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 5/2013
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-013-2860-6

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