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Fetal monitoring wi...
Fetal monitoring with computerized ST analysis during labor : A systematic review and meta-analysis
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Salmelin, A. (författare)
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- Wiklund, Ingela (författare)
- Karolinska Institutet
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Bottinga, R. (författare)
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- Brorsson, Bengt (författare)
- Uppsala universitet,Allmänmedicin och preventivmedicin
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- Ekman-Ordeberg, G. (författare)
- Karolinska Institutet
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Grimfors, E. E. (författare)
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- Hanson, Ulf, 1944- (författare)
- Uppsala universitet,Örebro universitet,Institutionen för hälsovetenskap och medicin,Obstetrik & gynekologi
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Blom, M. (författare)
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Persson, E. (författare)
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(creator_code:org_t)
- 2012-12-05
- 2013
- Engelska.
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Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - Hoboken, USA : Wiley. - 0001-6349 .- 1600-0412. ; 92:1, s. 28-39
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background. Computerized ST analysis of fetal electrocardiography (ECG) combined with cardiotochography (CTG) has been introduced for intrapartum monitoring and is the prevailing method when ST analysis (STAN®) is used. Objective. To assess the evidence that computerized ST analysis during labor reduces the incidence of fetal metabolic acidosis, hypoxic ischemic encephalopathy, cesarean section, instrumental vaginal delivery or the number of instances where fetal scalp blood sampling is used as compared with CTG only. Methods. Search of PubMed, Cochrane Library, EMBASE, Web of Science, CINAHL and CRD databases. Selection criteria. CTG only compared with CTG + computerized ST analysis. Data collection and analysis. Studies were assessed using pre-designed templates. Meta-analyses of included randomized controlled trials were performed using a random effects model. Results. Risk ratio for cord metabolic acidosis with STAN® was 0.96 [95% confidence interval (CI) 0.49-1.88]. Risk ratio for cesarean sections or instrumental vaginal deliveries for fetal distress was 0.93 (95%CI 0.80-1.08) and for fetal scalp blood sampling 0.55 (95%CI 0.40-0.76). Encephalopathy cases were not assessed due to their low incidence. Conclusions. There is not enough scientific evidence to conclude that computerized ST analysis reduces the incidence of metabolic acidosis. Cesarean sections and instrumental vaginal deliveries due to fetal distress or other indications are the same, regardless of method, but STAN® reduces the number of instances which require scalp blood sampling. © 2012 The Authors © 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Cardiotochography
- fetal electrocardiography
- intrapartum monitoring
- acid base balance
- alkalosis
- analysis
- analytical equipment
- blood sampling
- brain disease
- carbon dioxide tension
- cardiotocography
- cesarean section
- computerized ST analysis
- fetus breathing
- fetus distress
- fetus electrocardiography
- fetus monitoring
- high risk pregnancy
- human
- hypoxic ischemic encephalopathy
- incidence
- instrumental delivery
- labor
- meconium
- meconium aspiration
- meta analysis
- metabolic acidosis
- newborn hypoxia
- pH
- priority journal
- randomized controlled trial (topic)
- respiratory acidosis
- review
- sensitivity and specificity
- ST segment
- systematic review
- umbilical cord blood
- umbilical vein
- vaginal delivery
- Delivery
- Obstetric
- Female
- Fetal Monitoring
- Humans
- Pregnancy
- Randomized Controlled Trials as Topic
- Obstetrik och gynekologi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
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Salmelin, A.
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Wiklund, Ingela
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Bottinga, R.
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Brorsson, Bengt
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Ekman-Ordeberg, ...
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Grimfors, E. E.
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visa fler...
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Hanson, Ulf, 194 ...
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Blom, M.
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Persson, E.
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Reproduktionsmed ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
- Artiklar i publikationen
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Acta Obstetricia ...
- Av lärosätet
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Högskolan Dalarna
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Örebro universitet
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Karolinska Institutet
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Uppsala universitet