title: [Validity of the modern fetal monitoring methods in the decision of emergency obstetric operations].
abstract: The validity of the modern methods of fetal monitoring to decide for the indication of urgent obstetric operations. The reliability of the modern supervision of the fetus is studied in cases of doubtful fetal heart action. Up to the present day we have no method for the exact estimation of the degree of a damage to the fetus. In such a precarious situation we should use all available methods for the diagnosis of the fetal condition, because the results of only one of the methods offer insufficient evidence. By means of the literature the alterations in the ECG of the dying fetus are interpreted in comparison to artefacts. In cases of doubtful fetal heart action we recommend in addition to the clinical findings to record the fetal ECG, to controll the actual fetal pH and attempt an investigation by ultrasonic.
mesh_terms: D004562:Electrocardiography; D004630:Emergencies; D005260:Female; D005313:Fetal Death; D005315:Fetal Diseases / Q000175:diagnosis*; D005318:Fetal Heart / Q000503:physiopathology; D006326:Heart Auscultation; D006801:Humans; D008991:Monitoring, Physiologic; D007744:Obstetric Labor Complications / Q000601:surgery*; D011247:Pregnancy; D011295:Prenatal Care; D011674:Pulse; D014463:Ultrasonography
vernacular_title: Die Aussagekraft der modernen fetalen Uberwachungsmethoden bei der Entscheidung zu dringlichen geburtshilflichen Operationen