European Community Multi-Center Trial “Fetal ECG Analysis During Labor”: ST plus CTG analysis

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Why the study?

Does combined analysis of CTG and ST waveform changes identify fetal hypoxia during labor?

Population

320 cases during labor, including 6 cases of fetal intrapartum hypoxia

Design

Cohort, ECG information was not displayed during labor in order not to…

Follow-up

during labor

Authors

Discussion

Supports combined CTG-ST analysis for detecting intrapartum hypoxia; leaves open need for randomized trials before practice change.

Does combined analysis of CTG and ST waveform changes identify fetal hypoxia during labor?

Population

320 cases during labor, including 6 cases of fetal intrapartum hypoxia

Intervention

Fetal ECG analysis (ST waveform changes using ST Log automatic system, STAN recorder) combined with cardiotocography (CTG)

Outcome

Identification of changes in the fetal ECG waveform with cases of verified fetal hypoxiasurrogate

Combined analysis of CTG and ST waveform changes during labor appears to accurately identify fetal intrapartum hypoxia.

Luzietti et al. (1999) studied this question.

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