Fetal short time variation during labor: a non-invasive alternative to fetal scalp pH measurements?

被引:5
|
作者
Schiermeier, Sven [1 ]
Reinhard, Joscha [1 ]
Hatzmann, Hendrike [1 ]
Zimmermann, Ralf C. [2 ]
Westhof, Gregor [1 ]
机构
[1] Univ Witten Herdecke, Sch Med, Marien Hosp, Dept Obstet & Gynecol, D-58452 Witten, Germany
[2] Columbia Univ, Div Reprod Endocrinol, New York, NY 10032 USA
关键词
Fetal acidosis; fetal scalp pH measurements; labor; short time variation (STV); CORD BLOOD-PH; HEART-RATE; INTRAPARTUM CARDIOTOCOGRAPHY; TERM;
D O I
10.1515/JPM.2009.089
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To determine whether short time variation (STV) of fetal heart beat correlates with scalp pH measurements during labor. Patients and methods: From 1279 deliveries, 197 women had at least one fetal scalp pH measurement. Using the CTG-Player(R), STVs were calculated from the electronically saved cardiotocography (CTG) traces and related to the fetal scalp pH measurements. Results: There was no correlation between STV and fetal scalp pH measurements (r = -0.0592). Conclusions: Fetal STV is an important parameter with high sensitivity for antenatal fetal acidosis. This study shows that STV calculations do not correlate with fetal scalp pH measurements during labor, hence are not helpful in identifying fetal acidosis.
引用
收藏
页码:529 / 533
页数:5
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