[Quality and effectiveness of electronic fetal monitoring].
OBJECTIVE
To evaluate effectiveness of electronic fetal monitoring methods during labor.


METHODS
A case series study.


METHODS
Department of Gynecology and Obstetrics, Jessenius Faculty of Medicine, Comenius University, Martin, Slovak Republic.


METHODS
We followed 112 fetuses with simultaneous continuous monitoring (cardiotocography (CTG), intrapartal fetal pulse oxymetry (IFPO), and analysis of ST segment in fetal electrocardiogram (STAN)) during labor. We determined the effective time for every diagnostic tool.


METHODS
histograms, Kolmogorov-Smirnov test, Spearman's coefficient; significance (alfa): p<0.05.


RESULTS
The effective time decreased significantly in a row: CTG > STAN > IFPO (94.8% +/- 15.1% vs. 90.4% +/- 18.3% vs. 87.4% +/- 21.2%). STAN was the most effective tool in the second stage of labor (91.3% +/- 9.4%).


CONCLUSIONS
The most effective fetal monitoring tool is CTG. However STAN is the best diagnostic method in the second stage of labor, because of its bio-signal quality.
Gynekologicko-pôrodnícka klinika JLF UK a UNM, Martin. biringer@jfmed.uniba.sk
K
K
Biringer
J
J
Danko
D015148:Cardiotocography; D004562:Electrocardiography; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D010092:Oximetry; D011247:Pregnancy