Cerebral hemodynamics and oxygenation in the fetus. The role of intrapartum near-infrared spectroscopy.
Current methods of intrapartum surveillance have made little impact on fetal mortality and morbidity while leading to increased caesarean section rates. Near-infrared spectroscopy is a powerful new technique that can continuously measure changes in fetal cerebral oxygenation and hemodynamics during labor. Data are presented suggest that near-infrared spectroscopy has potential as a new form of fetal monitoring. However, further technical developments and testing in clinical trials are necessary before its introduction into clinical practice.
Peebles
D M
DM
Department of Obstetrics and Gynaecology, University of College London Medical School, England, United Kingdom.
D000818:Animals; D001921:Brain / Q000378:metabolism / Q000502:physiology*; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D005313:Fetal Death / Q000517:prevention & control; D005311:Fetal Hypoxia / Q000517:prevention & control; D005323:Fetal Monitoring; D005333:Fetus / Q000502:physiology*; D006340:Heart Rate, Fetal; D006439:Hemodynamics; D006801:Humans; D007743:Labor, Obstetric; D010101:Oxygen Consumption; D011247:Pregnancy; D019265:Spectroscopy, Near-Infrared