background: the primary goal of antenatal testing is to identify fetuses at risk of intrauterine neurologic injury or death so that these adverse outcomes can be prevented. we want to assess nonstress test (nst) results and some parameters before and after vibro-acoustic stimulation and acupressure. we did a randomized controlled clinical trial in shahid-beheshti hospital in isfahan in 2011. ma...

there are now several tests available that can assess fetal status. a series of 164 cases of high risk pregnancies were studied in order to assess predictive value of a nonstress test. the majority (36%) of patients complained about postdate pregnancy. a nonreactive test was identified in 24 of the patients (14.6%). fetal distress, low apgar score in 1 and 10 minutes after birth and mean of apg...

Background: Electronic fetal monitoring was used in many hospitals before labor and during delivery . The objective of this study was to investigate whether the use of fetal monitoring had effect on neonatal outcomes and cesarean section rate. Materials and Methods: A prospective study on monitoring neonatal Apgar and kind of delivery data, from deliveries occurring at Shahid Sadughi hospital i...

background: one of the first‑line assessment tools for fetal surveillance is nonstress test (nst), although it is limited by a high rate of false‑nonreactive results. this study was performed to investigate if external stimulation from vibroacoustic and halogen light could help in provoking fetal responsiveness and altering nst results. materials and methods: this is a clinical trial. sampling ...

background: the admission test (at) has been carried out for many years, but there are still debates about the prognostic value of the test. therefore, we aimed to examine the value of the at in predicting the adverse outcome in neonates. methods: in this cross-sectional study, 425 pregnant women with normal vaginal delivery were studied between2009 and 2014at vali-e-asr hospital. based on the ...

Intrapartum electronic fetal monitoring (EFM) is one of the most common procedures in obstetrics. Current consensus statements provide clinicians with a common language for EFM as well as provide a basis for a simplified approach to interpretation and management. This article presents a summary of the content and implementation of a statewide initiative in interdisciplinary EFM education and tr...

We report cases of unexpected adverse fetal outcome from monitored labors in which the fetal heart rate tracing was interpreted as reassuring. In these cases, portions from another signal source, usually maternal, were imperceptibly substituted into the fetal tracing in a way that masked the evidence of fetal compromise.

May/June 2012 become an issue in medical-legal cases. There are no national standards for setting parameters for EFM alerts or the timeframe expected for acknowledgement. Often default settings are determined when the system is installed and may vary widely from one institution to another. In many cases, the default settings can be altered by the clinician based on the individual patient situat...

A half century after continuous electronic fetal monitoring (EFM) became the omnipresent standard of care for the vast majority of labors in the developed countries, and the cornerstone for cerebral palsy litigation, EFM advocates still do not have any scientific evidence justifying EFM use in most labors or courtrooms. Yet, these EFM proponents continue rationalizing the procedure with a rheto...

Recent advances in standardized fetal monitoring nomenclature and interpretation make it possible to construct a standardized approach to intrapartum fetal heart rate management that is evidence-based and reflects consensus in the literature.