Comparison of non-invasive fetal electrocardiogram to Doppler cardiotocogram during the 1st stage of labor.
We compared a non-invasive fetal electrocardiogram (fECG) to Doppler cardiotocogram (CTG) during the 1(st) stage of labor.



This was a prospective observational study of non-invasive fECG using five abdominal electrodes and one Doppler ultrasound probe in 27 patients. Data were analyzed for reliability, clinical and statistical equivalence.



The fECG was similar to the traditional Doppler method. The fECG characterizes a fetal heart rate (FHR) trace in a similar way with regards to acceleration count, decelerations count and coincidence, variability and baseline. The FHR was overall correlated (Pearson's r=0.91).



This non-invasive fECG presents an alternative, reliable and accurate assessment for fetal well-being during the 1(st) stage of labor.
Reinhard
Joscha
J
Department of Obstetrics and Gynecology, Faculty of Medicine, Marien-Hospital Witten, University Witten/Herdecke, Teaching hospital of the Ruhr-University Bochum, Witten, Germany. Reinhard@Marien-Hospital-Witten.de
Hayes-Gill
Barrie R
BR
Yi
Qian
Q
Hatzmann
Hendrike
H
Schiermeier
Sven
S
D015148:Cardiotocography / Q000379:methods*; D004562:Electrocardiography / Q000379:methods*; D005260:Female; D005323:Fetal Monitoring / Q000379:methods*; D005333:Fetus; D006340:Heart Rate, Fetal / Q000502:physiology*; D006801:Humans; D007747:Labor Stage, First / Q000502:physiology*; D011247:Pregnancy; D011446:Prospective Studies; D015203:Reproducibility of Results; D018709:Statistics, Nonparametric