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Published on: May 5, 2018
Impact of the fetal pulse oximetry on the obstetrical decision in the theoretical setting
Catherine Houba1, Daniel Murillo, Patricia Barlow
1Department of Obstetrics and Gynaecology, Free Universities of Brussels (ULB-VUB), CHU St Pierre. Rue Haute 290, Brussels 1000 Belgium.
Objective:
to assess whether fetal oxymetry reduces the intervention rate in a "theoretical setting".
Study Design:
Data bank including 93 cases where a fetal oxymetry had been used for suspicion of fetal distress. Subjects-Two sets of labor charts were constructed for each case. One included relevant data with the saturometry, the other included relevant data without the saturometry.
Intervention:
Theoretical setting: 3 obstetricians, unaware of study aim of the obstetrical outcomes. Each case was presented first without the saturometry; in a second reading, its result was available.
Outcomes:
Number of extractions. Consensus between experts.
Statistics:
descriptive and paired non parametric tests.
Results:
The global intervention rate was lower (47% versus 52%; p<0.05) and the consensus higher, using monitoring and saturometry than using monitoring only.
Conclusion:
In a theoretical setting, the use of saturometry in suspicious cardiotocography (CTG) may help reduce the risk of invasive procedures.
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