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[Perioperative CTG in cesarean section]
In 30 cases each of primary (intact amnion) and secondary (ruptured amnion) cesarean section continuous perioperative cardiographic monitoring of the fetus was performed. When primary cesarean section is performed, perioperative monitoring extending to delivery of the fetus is not generally necessary, provided the preoperative CTG is normal and the patient is positioned on her left on the operating table. In secondary cesarean section with normal CTG continuous perioperative monitoring of the fetus is also unnecessary. If secondary cesarean section is performed when the amnion is ruptured and the CTG is pathologic, the fetus should be cardiotocographically monitored up to delivery, to permit the speed of preparation and performance of the operation to be adapted to the condition of the fetus and any necessary preparations for reanimation to be made.
In 30 cases each of primary (intact amnion) and secondary (ruptured amnion) cesarean section continuous perioperative cardiographic monitoring of the fetus was performed. When primary cesarean section is performed, perioperative monitoring extending to delivery of the fetus is not generally necessary, provided the preoperative CTG is normal and the patient is positioned on her left on the operating table. In secondary cesarean section with normal CTG continuous perioperative monitoring of the fetus is also unnecessary. If secondary cesarean section is performed when the amnion is ruptured and the CTG is pathologic, the fetus should be cardiotocographically monitored up to delivery, to permit the speed of preparation and performance of the operation to be adapted to the condition of the fetus and any necessary preparations for reanimation to be made.