[Fetal monitoring intra partum with cardiotocography and fetal blood sampling analysis and its possible influence on the C-section rate].
In times of rising c-section rates worldwide the obstetricians feel a big responsibility in avoiding a secondary c-section for non-reassuring fetal heart rate. No other experimental method has been established beside the gold standard (cardiotocography and fetal blood sampling) in daily routine until today. The two cases presented demonstrate the fallibility of the "gold standard" in predicting fetal asphyxia and why methodology with better positive predictive value is needed.
Butterwegge
M
M
Marienhospital Osnabrück, Osnabrück. Butterwegge@firemail.de
D000328:Adult; D001238:Asphyxia Neonatorum / Q000097:blood* / Q000175:diagnosis* / Q000517:prevention & control; D015148:Cardiotocography / Q000379:methods*; D002585:Cesarean Section / Q000379:methods; D003951:Diagnostic Errors / Q000517:prevention & control*; D005260:Female; D005312:Fetal Blood / Q000737:chemistry*; D005323:Fetal Monitoring / Q000379:methods; D006801:Humans; D007231:Infant, Newborn; D011237:Predictive Value of Tests; D011247:Pregnancy; D018570:Risk Assessment / Q000379:methods*