Unit:
Κατεύθυνση Παθολογία της ΚύησηςLibrary of the School of Health Sciences
Author:
Karagianni Eirini
Supervisors info:
Χαράλαμπος Χρέλιας, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Νικόλαος Βραχνής, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Νικόλαος Παπαντωνίου, Ομότιμος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Καρδιοτοκογραφία στην αίθουσα τοκετού
Translated title:
Cardiotocography in the delivery room
Summary:
Electronic fetal monitoring (EFM) using CTG has been performedover the last 50 years to detect intrauterine hypoxia in order to reduce the rates of cerebral palsy. However, rates of cerebral palsy did not decrease and interventional deliveries were increased. Evaluation of fetal heart rate changes plays a very important role as it is aimed at preventing damage to the fetus in case of any oxygenation disorder. This review describes the principles of physiopathology on which monitoring is based and examines the effect of various factors on EHR .The traces of CTG according to NICE,FIGO and ACOG and their interpretation respectively. Factors involved in the oxygenation of the fetus during delivery are analyzed and bibliographic documented measures are taken to treat hypoxia. Finally, the limitations of the CTG are emphasized and complementary methods of electronic monitoring of fetal cardiac function are proposed as well as the resulting legal issues.
To sum up, objective analysis of all parameters related to fetal heart rate during delivery, based on recent guidelines published in combination to physiopathological knowledge about EHR, may lead to optimal management of hypoxia cases.
Main subject category:
Health Sciences
Keywords:
FIGO, NICE, ACOG, CTG, STAN, Fetal heart rate, Hypoxia, Cardiotocography
Number of references:
210
