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Titolo:
European Community Multi-Center Trial "Fetal ECG Analysis During Labor": ST plus CTG analysis
Autore:
Luzietti, R; Erkkola, R; Hasbargen, U; Mattsson, LA; Thoulon, JM; Rosen, KG;
Indirizzi:
Univ Parma, Dept Obstet & Gynecol, I-43100 Parma, Italy Univ Parma ParmaItaly I-43100 pt Obstet & Gynecol, I-43100 Parma, Italy Cent Univ Hosp Turku, Dept Obstet & Gynecol, Turku, Finland Cent Univ HospTurku Turku Finland ept Obstet & Gynecol, Turku, Finland Univ Munich, Klinikum Grosshadern, Dept Obstet & Gynecol, D-8000 Munich, Germany Univ Munich Munich Germany D-8000 stet & Gynecol, D-8000 Munich, Germany Ostra Sjukhuset, Dept Obstet & Gynecol, Gothenburg, Sweden Ostra Sjukhuset Gothenburg Sweden Obstet & Gynecol, Gothenburg, Sweden Hotel Dieu, Dept Obstet & Gynecol, Lyon, France Hotel Dieu Lyon FranceHotel Dieu, Dept Obstet & Gynecol, Lyon, France Univ Plymouth, Plymouth Postgrad Med Sch, Plymouth, Devon, England Univ Plymouth Plymouth Devon England d Med Sch, Plymouth, Devon, England Neoventa Med AB, Gothenburg, Sweden Neoventa Med AB Gothenburg SwedenNeoventa Med AB, Gothenburg, Sweden
Titolo Testata:
JOURNAL OF PERINATAL MEDICINE
fascicolo: 6, volume: 27, anno: 1999,
pagine: 431 - 440
SICI:
0300-5577(1999)27:6<431:ECMT"E>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
WAVE-FORM ANALYSIS; HEART-RATE; ELECTROCARDIOGRAM; SURVEILLANCE; ASPHYXIA; HYPOXIA; MODEL;
Keywords:
fetal electrocardiogram; fetal monitoring; fetal surveillance; intrapartum asphyxia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Luzietti, R 227 Ham Dr,Pennycross, Plymouth PL2 3NF, Devon, England 227 Ham Dr,Pennycross Plymouth Devon England PL2 3NF England
Citazione:
R. Luzietti et al., "European Community Multi-Center Trial "Fetal ECG Analysis During Labor": ST plus CTG analysis", J PERIN MED, 27(6), 1999, pp. 431-440

Abstract

This report form part of the European Community Multi-Center Trial "Fetal ECG Analysis during Labor". Aim of this prospective trial was to identify changes in the fetal ECG waveform with cases of verified fetal hypoxia. In this paper we also report on the use of a newly developed automatic system for identification of ST waveform changes (ST Log). All ECG were recorded with the STAN recorder (Neoventa Medical AB, Gothenburg, Sweden). The ECG information was not displayed during labor in order not to influence the clinical management. This report includes data from 320 cases and include six cases of fetal intrapartum hypoxia. Twenty seven cases showed changes in ST waveform. All five cases with the most marked ST change (a rise in T/QRS of >0.10 units and lasting more then 10 minutes) had signs of ongoing intrapartum hypoxia. Six out of six cases with evidence of intrapartum asphyxia, showed ST changes. On the basis of our multi-center trial it appears that thecombined analysis of CTG and ST waveform changes provides an accurate way to identify adverse events during labor. The work is continuing with a new STAN recorder developed by Neoventa Medical in Goteborg and currently beingtested in a Swedish randomized, controlled multi-center trial.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 10:24:53