What question did this study set out to answer?

To determine whether adding computerized fetal electrocardiogram ST analysis to cardiotocography reduces fetal metabolic acidosis, hypoxic ischemic encephalopathy, operative delivery, or fetal scalp blood sampling during labor.

December 5, 2012Acta Obstetricia Et Gynecologica ScandinavicaOpen Access

Fetal monitoring with computerized ST analysis during labor: a systematic review and meta‐analysis

View Full Paper

Ask AI

Bookmark

Why the study?

Does computerized ST analysis combined with CTG reduce fetal metabolic acidosis and other adverse outcomes during labor compared to CTG alone?

Population

Fetuses monitored during labor

Comparison

Computerized ST analysis of fetal… vs Cardiotochography (CTG) only

Design

Meta-analysis

Follow-up

intrapartum/delivery

Authors

ASANETTE SALMELIN IWIngela WiklundLinköping University RBROGER BOTTINGASödertälje Sjukhus

Discussion

Member takes

Implication

STAN does not reduce metabolic acidosis versus CTG alone; confirms safe reduction in fetal scalp blood sampling.

Key Points

To determine whether adding computerized fetal electrocardiogram ST analysis to cardiotocography reduces fetal metabolic acidosis, hypoxic ischemic encephalopathy, operative delivery, or fetal scalp blood sampling during labor.
Systematic search of PubMed, Cochrane Library, EMBASE, Web of Science, CINAHL, and CRD databases.
Inclusion of randomized controlled trials directly comparing cardiotocography alone against cardiotocography combined with computerized ST analysis.
Meta-analyses conducted on extracted trial outcomes using a random effects model.
Cord metabolic acidosis incidence was not significantly reduced with ST analysis (RR 0.96, 95% CI 0.49–1.88).
Cesarean sections or instrumental vaginal deliveries for fetal distress showed no significant difference between groups (RR 0.93, 95% CI 0.80–1.08).
ST analysis significantly decreased the need for fetal scalp blood sampling (RR 0.55, 95% CI 0.40–0.76), whereas encephalopathy was unassessed due to rare occurrences.

Structured PICO

Does computerized ST analysis combined with CTG reduce fetal metabolic acidosis and other adverse outcomes during labor compared to CTG alone?

Population

Fetuses monitored during labor

Intervention

Computerized ST analysis of fetal electrocardiography (ECG) combined with cardiotochography (CTG)

Comparator

Cardiotochography (CTG) only

Outcome

Incidence of fetal metabolic acidosishard clinical

Computerized ST analysis during labor reduces the need for fetal scalp blood sampling but does not significantly reduce the incidence of metabolic acidosis or operative deliveries compared to CTG alone.

Limitations

Encephalopathy cases were not assessed due to their low incidence

Cite This Study

SALMELIN et al. (2012) studied this question.

synapsesocial.com/papers/6a702f612163a0a01bc466ba https://doi.org/10.1111/aogs.12009

View Full Paper

Ask AI

Bookmark

Fetal monitoring with computerized ST analysis during labor: a systematic review and meta‐analysis

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Fetal monitoring with computerized ST analysis during labor: a systematic review and meta‐analysis

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider