Belittling of a significant decline in neonatal metabolic acidosis rate achieved by STAN monitoring.

Olofsson, PerLund University,Lunds universitet,Urogynekologi och reproduktionsfarmakologi,Forskargrupper vid Lunds universitet,Urogynaecology and Reproductive Pharmacology,Lund University Research Groups (author)

Blix et al. found in a recent meta-analysis (MA) that intrapartum fetal surveillance with ECG ST analysis (STAN) results in a significant 36% decrease in metabolic acidosis at birth compared to cardiotocography (CTG) alone (1). This demonstrates that STAN monitoring could better than CTG alone protect against hypoxia proceeding to metabolic acidosis. However, by referring to the weak association between metabolic acidosis and "hard endpoints" like death and neurological sequelae, Blix et al. belittle their finding. Approximately 80% of neurological sequelae are not associated with intrapartum events (2) and intrapartum fetal monitoring will then not be protective, but intrapartum hypoxia with metabolic acidosis is causal among the remaining 10-20% of cases (2). This article is protected by copyright. All rights reserved.

Urogynekologi och reproduktionsfarmakologiForskargrupper vid Lunds universitet (creator_code:org_t)

In:Acta Obstetricia et Gynecologica Scandinavica: Wiley95:5, s. 604-6051600-04120001-6349

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Obstetrics Gynae ...

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.