Sökning: onr:"swepub:oai:lup.lub.lu.se:826e3ae7-d279-424f-ab65-2af937797ff5" > Cardiotocography on...
Fältnamn | Indikatorer | Metadata |
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000 | 04864naa a2200421 4500 | |
001 | oai:lup.lub.lu.se:826e3ae7-d279-424f-ab65-2af937797ff5 | |
003 | SwePub | |
008 | 160401s2001 | |||||||||||000 ||eng| | |
024 | 7 | a https://lup.lub.lu.se/record/11206142 URI |
024 | 7 | a https://doi.org/10.1016/S0140-6736(01)05703-82 DOI |
040 | a (SwePub)lu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a art2 swepub-publicationtype |
072 | 7 | a ref2 swepub-contenttype |
100 | 1 | a Amer-Wåhlin, Isisu Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)gyn-iaw |
245 | 1 0 | a Cardiotocography only versus cardiotocography plus ST analysis of fetal electrocardiogram for intrapartum fetal monitoring: a Swedish randomised controlled trial |
264 | 1 | c 2001 |
520 | a BACKGROUND: Previous studies indicate that analysis of the ST waveform of the fetal electrocardiogram provides information on the fetal response to hypoxia. We did a multicentre randomised controlled trial to test the hypothesis that intrapartum monitoring with cardiotocography combined with automatic ST-waveform analysis results in an improved perinatal outcome compared with cardiotocography alone. METHODS: At three Swedish labour wards, 4966 women with term fetuses in the cephalic presentation entered the trial during labour after a clinical decision had been made to apply a fetal scalp electrode for internal cardiotocography. They were randomly assigned monitoring with cardiotocography plus ST analysis (CTG+ST group) or cardiotocography only (CTG group). The main outcome measure was rate of umbilical-artery metabolic acidosis (pH <7.05 and base deficit >12 mmol/L). Secondary outcomes included operative delivery for fetal distress. Results were first analysed according to intention to treat, and secondly after exclusion of cases with severe malformations or with inadequate monitoring. FINDINGS: The CTG+ST group showed significantly lower rates of umbilical-artery metabolic acidosis than the cardiotocography group (15 of 2159 [0.7%] vs 31 of 2079 [2%], relative risk 0.47 [95% CI 0.25-0.86], p=0.02) and of operative delivery for fetal distress (193 of 2519 [8%] vs 227 of 2447 [9%], 0.83 [0.69-0.99], p=0.047) when all cases were included according to intention to treat. The differences were more pronounced after exclusion of 291 in the CTG+ST group and 283 in the CTG group with malformations or inadequate recording. INTERPRETATION: Intrapartum monitoring with cardiotocography combined with automatic ST-waveform analysis increases the ability of obstetricians to identify fetal hypoxia and to intervene more appropriately, resulting in an improved perinatal outcome. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng |
700 | 1 | a Hellsten, Charlotteu Lund University,Lunds universitet,Urogynekologi och reproduktionsfarmakologi,Forskargrupper vid Lunds universitet,Urogynaecology and Reproductive Pharmacology,Lund University Research Groups4 aut0 (Swepub:lu)obst-che |
700 | 1 | a Noren, Håkan4 aut |
700 | 1 | a Hagberg, Henrik4 aut |
700 | 1 | a Herbst, Andreasu Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)gyn-ahe |
700 | 1 | a Kjellmer, Ingemar4 aut |
700 | 1 | a Lilja, Håkan4 aut |
700 | 1 | a Lindoff, Claes4 aut |
700 | 1 | a Mansson, Maivi4 aut |
700 | 1 | a Martensson, Laila4 aut |
700 | 1 | a Olofsson, Peru Lund University,Lunds universitet,Urogynekologi och reproduktionsfarmakologi,Forskargrupper vid Lunds universitet,Urogynaecology and Reproductive Pharmacology,Lund University Research Groups4 aut0 (Swepub:lu)obst-pol |
700 | 1 | a Sundström, Anna-Karin4 aut |
700 | 1 | a Marsal, Karelu Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)gyn-kma |
710 | 2 | a Obstetrik och gynekologi, Lundb Sektion V4 org |
773 | 0 | t The Lancetg 358:9281, s. 534-538q 358:9281<534-538x 1474-547X |
856 | 4 | u http://dx.doi.org/10.1016/S0140-6736(01)05703-8y FULLTEXT |
856 | 4 8 | u https://lup.lub.lu.se/record/1120614 |
856 | 4 8 | u https://doi.org/10.1016/S0140-6736(01)05703-8 |
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