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Comparison of non-invasive fetal electrocardiogram to Doppler cardiotocogram during the 1st stage of labor
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Joscha Reinhard
Published/Copyright:
February 2, 2010
Abstract
Objective: We compared a non-invasive fetal electrocardiogram (fECG) to Doppler cardiotocogram (CTG) during the 1st stage of labor.
Study design: This was a prospective observational study of non-invasive fECG using five abdominal electrodes and one Doppler ultrasound probe in 27 patients. Data were analyzed for reliability, clinical and statistical equivalence.
Results: The fECG was similar to the traditional Doppler method. The fECG characterizes a fetal heart rate (FHR) trace in a similar way with regards to acceleration count, decelerations count and coincidence, variability and baseline. The FHR was overall correlated (Pearson's r=0.91).
Conclusion: This non-invasive fECG presents an alternative, reliable and accurate assessment for fetal well-being during the 1st stage of labor.
Received: 2009-4-21
Revised: 2009-7-29
Accepted: 2009-8-31
Published Online: 2010-02-02
Published Online: 2010-02-2
Published in Print: 2010-03-01
©2010 by Walter de Gruyter Berlin New York
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Keywords for this article
Doppler cardiotocogram;
first stage of labor;
non-invasive fetal electrocardiogram
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- Expert panel recommendation
- A template for defining the perinatal care of monochorionic twins: the Istanbul international ad hoc committee
- Recommendations and guidelines for perinatal practice
- Guidelines for the management of postterm pregnancy
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