title: Impact of the fetal pulse oximetry on the obstetrical decision in the theoretical setting.
abstract: OBJECTIVE
  to assess whether fetal oxymetry reduces the intervention rate in a "theoretical setting".
  
  
  METHODS
  Data bank including 93 cases where a fetal oxymetry had been used for suspicion of fetal distress. Subjects-Two sets of labor charts were constructed for each case. One included relevant data with the saturometry, the other included relevant data without the saturometry.
  
  
  METHODS
  Theoretical setting: 3 obstetricians, unaware of study aim of the obstetrical outcomes. Each case was presented first without the saturometry; in a second reading, its result was available.
  
  
  RESULTS
  Number of extractions. Consensus between experts.
  
  
  METHODS
  descriptive and paired non parametric tests.
  
  
  RESULTS
  The global intervention rate was lower (47% versus 52%; p<0.05) and the consensus higher, using monitoring and saturometry than using monitoring only.
  
  
  CONCLUSIONS
  In a theoretical setting, the use of saturometry in suspicious cardiotocography (CTG) may help reduce the risk of invasive procedures.
authors.affiliation: Department of Obstetrics and Gynaecology, Free Universities of Brussels (ULB-VUB), CHU St Pierre. Rue Haute 290, Brussels 1000 Belgium.
authors.forename: Catherine
authors.initials: C
authors.lastname: Houba
authors.forename: Daniel
authors.initials: D
authors.lastname: Murillo
authors.forename: Patricia
authors.initials: P
authors.lastname: Barlow
authors.forename: Geraldine
authors.initials: G
authors.lastname: Debruyne
authors.forename: Serge
authors.initials: S
authors.lastname: Rozenberg
mesh_terms: D001034:Apgar Score; D015148:Cardiotocography / Q000379:methods*; D002585:Cesarean Section; D002983:Clinical Competence; D005260:Female; D005312:Fetal Blood / Q000737:chemistry; D005316:Fetal Distress / Q000175:diagnosis*; D005311:Fetal Hypoxia / Q000175:diagnosis; D006340:Heart Rate, Fetal; D006801:Humans; D006863:Hydrogen-Ion Concentration; D015931:Intensive Care, Neonatal; D007743:Labor, Obstetric; D010092:Oximetry / Q000379:methods*; D011247:Pregnancy