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Application of an Amplitude-integrated EEG Monitor (Cerebral Function Monitor) to Neonates
Published on: September 6, 2017
[Quality and effectiveness of electronic fetal monitoring]
1Gynekologicko-pôrodnícka klinika JLF UK a UNM, Martin. biringer@jfmed.uniba.sk
Objective:
To evaluate effectiveness of electronic fetal monitoring methods during labor.
Design:
A case series study.
Setting:
Department of Gynecology and Obstetrics, Jessenius Faculty of Medicine, Comenius University, Martin, Slovak Republic.
Methods:
We followed 112 fetuses with simultaneous continuous monitoring (cardiotocography (CTG), intrapartal fetal pulse oxymetry (IFPO), and analysis of ST segment in fetal electrocardiogram (STAN)) during labor. We determined the effective time for every diagnostic tool.
Statistics:
histograms, Kolmogorov-Smirnov test, Spearman's coefficient; significance (alfa): p<0.05.
Results:
The effective time decreased significantly in a row: CTG > STAN > IFPO (94.8% +/- 15.1% vs. 90.4% +/- 18.3% vs. 87.4% +/- 21.2%). STAN was the most effective tool in the second stage of labor (91.3% +/- 9.4%).
Conclusion:
The most effective fetal monitoring tool is CTG. However STAN is the best diagnostic method in the second stage of labor, because of its bio-signal quality.
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