[Intrapartum fetal vitality assessment].
The incidence of morbidity and mortality resulting from perinatal hypoxia is variable around the world, reaching 33 to 1.000 alive newborns in developing countries. Although the greater part of cases of perinatal morbidity and morbidity cannot be prevented with labor monitoring, failure of appropriate actions are considered important contributing factors. Intrapartum cardiotocography have been largely used for monitoring of fetal heart rate and diagnosis of fetal well-being, but several studies suggest that there aren't advantages of this method when compared with intermittent auscultation in terms of improving neonatal outcome. Nowadays, other technologies have been proposed for fetal intrapartum assessment, like stimulation tests, near-infrared spectroscopy, fetal pulse oximetry and fetal electrocardiography.
Rolland de Souza
Alex
A
Centro de Atenção à Mulher, Setor de Medicina Fetal, Instituto Materno Infantil Fernando Figueira, Brasil.
Ramos Amorim
Melania
M
D000161:Acoustic Stimulation; D000653:Amniotic Fluid / Q000737:chemistry; D015148:Cardiotocography; D004562:Electrocardiography; D005260:Female; D005323:Fetal Monitoring / Q000379:methods*; D006326:Heart Auscultation; D006801:Humans; D007743:Labor, Obstetric; D010092:Oximetry; D011247:Pregnancy