European Community Multi-Center Trial “Fetal ECG Analysis During Labor”: ST plus CTG analysis
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Roberto Luzietti
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 the combined 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 Göteborg and currently being tested in a Swedish randomized, controlled multi-center trial.
Copyright (c)1999 by Walter de Gruyter GmbH & Co. KG
Articles in the same Issue
- Contents
- Author Index
- Subject Index
- Birth of St. Mary (St. Anne’s parturition) in the light of messages from medical education: Three examples from Croatian sacral heritage
- Are color and pulsed Doppler sonography safe in early pregnancy?
- European Community Multi-Center Trial “Fetal ECG Analysis During Labor”: ST plus CTG analysis
- Prenatal and perinatal risk factors for autism
- Rupture of membranes before 26 weeks of gestation: Outcome of 148 consecutive cases
- Coagulation and fibrinolysis in viable mid-trimester pregnancies of normal, intrauterine growth retardation, chromosomal anomalies and hydrops fetalis and their eventual obstetric outcome
- Determinants of energy expenditure in ventilated preterm infants
- Perinatal outcome and management of single fetal death in twin pregnancy: A case series and review
- Comparison between creatine kinase brain isoenzyme (CKBB) activity and Sarnat score for prediction of adverse outcome following perinatal asphyxia
- Neonatal outcome in small for gestational age infants: Do they really better?
- Chronic lung disease and survival in 4 tertiary neonatal units
- Follow-up studies of newborn-babies with congenital ventriculomegaly
Articles in the same Issue
- Contents
- Author Index
- Subject Index
- Birth of St. Mary (St. Anne’s parturition) in the light of messages from medical education: Three examples from Croatian sacral heritage
- Are color and pulsed Doppler sonography safe in early pregnancy?
- European Community Multi-Center Trial “Fetal ECG Analysis During Labor”: ST plus CTG analysis
- Prenatal and perinatal risk factors for autism
- Rupture of membranes before 26 weeks of gestation: Outcome of 148 consecutive cases
- Coagulation and fibrinolysis in viable mid-trimester pregnancies of normal, intrauterine growth retardation, chromosomal anomalies and hydrops fetalis and their eventual obstetric outcome
- Determinants of energy expenditure in ventilated preterm infants
- Perinatal outcome and management of single fetal death in twin pregnancy: A case series and review
- Comparison between creatine kinase brain isoenzyme (CKBB) activity and Sarnat score for prediction of adverse outcome following perinatal asphyxia
- Neonatal outcome in small for gestational age infants: Do they really better?
- Chronic lung disease and survival in 4 tertiary neonatal units
- Follow-up studies of newborn-babies with congenital ventriculomegaly
