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STAN in clinical pr...
STAN in clinical practice--the outcome of 2 years of regular use in the city of Gothenburg
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- Noren, Håkan, 1948 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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- Blad, Sofia (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för fysiologi,Institute of Neuroscience and Physiology, Department of Physiology
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Carlsson, Ann (författare)
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- Flisberg, Anders, 1958 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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Gustavsson, Annika (författare)
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- Lilja, Håkan, 1944 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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- Wennergren, Margareta, 1948 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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- Hagberg, Henrik, 1955 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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visa färre...
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(creator_code:org_t)
- 2006
- 2006
- Engelska.
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Ingår i: Am J Obstet Gynecol. ; 195:1, s. 7-15
- Relaterad länk:
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https://gup.ub.gu.se...
Abstract
Ämnesord
Stäng
- OBJECTIVE: The purpose of this study was to monitor the introduction of the STAN-methodology (Noventa Medical, Moelndal, Sweden). STUDY DESIGN: This was a prospective observational study covering the total population of deliveries at term during 2 years. Four thousand eight hundred and thirty out of 14,687 term pregnancies were monitored using the STAN S 21 fetal heart monitor and the associated clinical guidelines. Cord artery metabolic acidosis, neonatal outcome, and rates of operative deliveries for fetal distress were assessed. RESULTS: The annual rate of STAN usage increased from 28.1% to 37.7% and was associated with a significant reduction in metabolic acidosis rate in the total population from 0.76% to 0.44% (P < .05). The compliance with the clinical guidelines increased in cases requiring intervention. The rates for moderate/severe hypoxic neonatal encephalopathy were consistently low, 0.55 and 0.68 per 1000 deliveries, respectively, and corresponding to previous findings. The rate of operative delivery did not change during the 2 years in the total population. CONCLUSION: Increasing STAN usage provided consistent improvements in fetal outcome equalling those noted in the Swedish randomized controlled trial (RCT) without increasing operative interventions for fetal distress.
Nyckelord
- Acidosis/epidemiology/prevention & control
- Apgar Score
- Electrocardiography
- Female
- Fetal Distress/epidemiology/therapy
- Fetal Monitoring/*methods/standards
- Guideline Adherence
- Heart Rate
- Fetal
- Humans
- Incidence
- Labor
- Induced/statistics & numerical data
- Practice Guidelines
- Pregnancy
- *Pregnancy Outcome
- *Signal Processing
- Computer-Assisted
- Sweden
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Noren, Håkan, 19 ...
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Blad, Sofia
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Carlsson, Ann
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Flisberg, Anders ...
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Gustavsson, Anni ...
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Lilja, Håkan, 19 ...
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Wennergren, Marg ...
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Hagberg, Henrik, ...
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- Artiklar i publikationen
- Am J Obstet Gyne ...
- Av lärosätet
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Göteborgs universitet