Does ST analysis have a place in electronic fetal monitoring?
Intrapartum cardiotocography (CTG) has a high false-positive rate. This has contributed to the rapid increase in obstetric interventions without a strong improvement in perinatal outcomes. We explore the role of ST analysis (STAN®) as an adjunct to CTG in identifying fetal asphyxia during labor. We conclude that STAN® reduces the rate of fetal blood sampling and instrumental vaginal deliveries, and has the potential to reduce the number of Australian operative interventions without compromising neonatal outcome.
a Department of Obstetrics and Gynaecology , Lyell McEwin Hospital , Adelaide , Australia.
Tamara L
TL
Turnbull
b Department of Obstetrics and Gynaecology , Women's and Children's Hospital , Adelaide , Australia , and.
Ben Willem J
BW
Mol
b Department of Obstetrics and Gynaecology , Women's and Children's Hospital , Adelaide , Australia , and.
Geoff
G
Matthews
b Department of Obstetrics and Gynaecology , Women's and Children's Hospital , Adelaide , Australia , and.
Chris
C
Wilkinson
c Women's Services at St George University Hospitals , London , UK.
Edwin
E
Chandraharan
b Department of Obstetrics and Gynaecology , Women's and Children's Hospital , Adelaide , Australia , and.
Sabrina
S
Kuah
D001238:Asphyxia Neonatorum / Q000517:prevention & control; D015148:Cardiotocography / Q000379:methods*; D004562:Electrocardiography; D005260:Female; D005323:Fetal Monitoring / Q000379:methods; D006801:Humans; D007231:Infant, Newborn; D007743:Labor, Obstetric; D011247:Pregnancy; D016032:Randomized Controlled Trials as Topic
Cardiotocography; ST analysis; fetal monitoring; obstetric intervention; perinatal outcomes