Electronic fetal monitoring: does it really lead to better outcomes?

نویسنده

  • Lawrence D Devoe
چکیده

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P-184: Investigation of Electronic Fetal Monitoring Application during Labor with Cesarean Section and Apgar Score

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Clinical inquiries. How does electronic fetal heart rate monitoring affect labor and delivery outcomes?

A continuous electronic fetal monitoring (efm) reduces the risk of neonatal seizure by 50% compared with intermittent auscultation (IA) (strength of recommendation [SOR]: A, systematic review of randomized controlled trials [RCTs]). EFM increases the incidence of cesarean section by 66% and the incidence of operative vaginal delivery by 16% (SOR: A, systematic review of RCTs). It has no effect ...

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Neonatal Outcomes with Continuous Intrapartum Electronic Fetal Monitoring vs. Intermittent Auscultation

This study was undertaken to observe how the EFM alters the neonatal outcome as compared to IA. The present study was conducted in Maheshwari Children‟s Hospital and associated obstetric centers, Bathinda, India. This study included 990 women, pregnant with single live fetus, who were monitored during the labour either by intermittent auscultation (IA) or electronic fetal monitoring (EFM) by ca...

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Solution of Controversy in Fetal Heart Rate Patterns

Fetal well-being was estimated by the enlargement of maternal abdomen, palpation of fetus on the abdomen, maternal perception of fetal kicking, and listening to fetal heart sound with obstetric stethoscope, in old age. Antique diagnosis of fetal life was fetal QRS found on limb lead electrocardiogram (ECG) studied by Cremer, which was progressed to fetal ECG amplifier composed of vacuum tube re...

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Fetal heart rate pattern notification guidelines and suggested management algorithm for intrapartum electronic fetal heart rate monitoring.

CONTEXT Numerous randomized controlled trials have demonstrated limited efficacy of intrapartum fetal heart rate monitoring in improving fetal outcome. A potential reason is the wide variability in clinical decision making seen with its use. Standardizing management of variant intrapartum fetal heart rate tracings may reduce this variability and lead to improvement in fetal outcome. OBJECTIVE...

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عنوان ژورنال:
  • American journal of obstetrics and gynecology

دوره 204 6  شماره 

صفحات  -

تاریخ انتشار 2011