OBJECTIVE This study was undertaken to correlate changes in the intrapartum electronic fetal heart rate patterns with the development of significant neonatal acidemia. STUDY DESIGN We identified 488 fetuses at a gestational age of >37 weeks' gestation who had continuous electronic fetal monitoring during labor for the last 2 hours and umbilical artery cord gas analysis performed at delivery. ...

In April 2008, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine partnered to sponsor a 2-day workshop to revisit nomenclature, interpretation, and research recommendations for intrapartum electronic fetal heart rate monitoring. Participants included obstetric ...

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 ...

Standard methods of monitoring the fetus and maternal health during labor are cardiotocogram, tocography, ultrasound and magnetocardiograpghy. These methods have some limitations in real time continuous monitoring and cause some degree of inconvenience to the patient and demand special attendance of the obstetrician also these methods cannot be used for continuous monitoring of the fetal well b...

Health technology The use of domiciliary care for pregnant women at risk of adverse outcomes. Enhanced domiciliary care comprised home visits from community midwives and domiciliary foetal monitoring, where the results of a cardiotocogram (CTG), recorded in the home, were transmitted to the hospital by telephone using modems. The frequency of surveillance was not specified in the study protocol...

Five randomized controlled trials have been published on intrapartum fetal heart rate monitoring with ST analysis of the fetal electrocardiogram, but the debate on its usefulness has not yet been ended. We consider ST analysis a useful and cost-effective addition to conventional fetal heart rate monitoring. We will provide support for this opinion by discussing the pathophysiology of ST changes...

The cardinal driver of cerebral palsy litigation is electronic fetal monitoring, which has continued unabated for 40 years. Electronic fetal monitoring, however, is based on 19th-century childbirth myths, a virtually nonexistent scientific foundation, and has a false positive rate exceeding 99%. It has not affected the incidence of cerebral palsy. Electronic fetal monitoring has, however, incre...

The cardinal driver of cerebral palsy litigation is electronic fetal monitoring, which has continued unabated for 40 years. Electronic fetal monitoring, however, is based on 19th-century childbirth myths, a virtually nonexistent scientific foundation, and has a false positive rate exceeding 99%. It has not affected the incidence of cerebral palsy. Electronic fetal monitoring has, however, incre...

Noninvasive fetal health monitoring during pregnancy has become increasingly important in order to prevent complications, such as fetal hypoxia and preterm labor. With recent advances in signal processing technology using abdominal electrocardiogram (ECG) recordings, ambulatory fetal monitoring throughout pregnancy is now an important step closer to becoming feasible. The large number of electr...

The first recording of the fetal electrocardiogram was described 80 years ago. Since that time only the peak of the QRS complex has been used in fetal monitoring for the measurement of fetal heart rate. Attempts to quantify changes in the configuration and time constants have been attempted over the last 30 years but despite the data obtained from animal experiments suggesting configurational c...