ST Segment Analysis (STAN) as an Adjunct to Electronic Fetal Monitoring, Part II: Clinical Studies and Future Directions

Clinics in Perinatology

Volumn 38, Issue 1, 2011, Pages 159-167

  Belfort, Michael A ^a   Saade, George R ^a  

^a TEXAS CHILDREN S HOSPITAL   (United States)

Author keywords

Cardiotocography; Fetal monitoring; ST segment analysis; STAN

Indexed keywords

ACIDEMIA; APGAR SCORE; CARDIOTOCOGRAPHY; CLINICAL DECISION MAKING; CLINICAL RESEARCH; COCHRANE LIBRARY; DELIVERY; DIAGNOSTIC ACCURACY; FETAL WELL BEING; FETUS BLOOD SAMPLING; FETUS DISTRESS; FETUS ELECTROCARDIOGRAPHY; FETUS HEART RATE; FETUS MONITORING; FETUS OUTCOME; FOLLOW UP; HUMAN; METABOLIC ACIDOSIS; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; PRACTICE GUIDELINE; PREDICTIVE VALUE; PRIORITY JOURNAL; REVIEW; SENSITIVITY AND SPECIFICITY; ST SEGMENT;

ACIDOSIS; BIOMEDICAL RESEARCH; DELIVERY, OBSTETRIC; ELECTROCARDIOGRAPHY; FEMALE; HEART RATE, FETAL; HUMANS; LABOR, OBSTETRIC; OBSTETRIC LABOR COMPLICATIONS; PREGNANCY; PREGNANCY OUTCOME; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SCALP;

EID: 79951844319     PISSN: 00955108     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clp.2010.12.010     Document Type: Review

References (15)

1. Westgate J., Harris M., Curnow J.S., et al. Plymouth randomized trial of cardiotocogram only versus ST waveform plus cardiotocogram for intrapartum monitoring in 2400 cases. Am J Obstet Gynecol 1993, 169:1151-1160.
2. Amer-Wåhlin I., Hellsten C., Norén H., et al. Cardiotocography only versus cardiotocography plus ST analysis of fetal electrocardiogram for intrapartum fetal monitoring: a Swedish randomised controlled trial. Lancet 2001, 358:534-538.
3. Ojala K., Vaarasmaki M., Makikallio K., et al. A comparison of intrapartum automated fetal electrocardiography and conventional cardiotocography-a randomised controlled study. BJOG 2006, 113:419-423.
4. Vayssiere C., David E., Meyer N., et al. A French randomized controlled trial of ST-segment analysis in a population with abnormal cardiotocograms during labor. Am J Obstet Gynecol 2007, 197. 299, e1-6.
5. Neilson J.P. Fetal electrocardiogram (ECG) for fetal monitoring during labour. Cochrane Database Syst Rev 2006, 3. CD000116.
6. Westerhuis M.E., Visser G.H., Moons K.G., et al. Cardiotocography plus ST analysis of fetal electrocardiogram compared with cardiotocography only for intrapartum monitoring: a randomized controlled trial. Obstet Gynecol 2010, 115:1173-1180.
7. Amer-Wåhlin I., Bördahl P., Eikeland T., et al. ST analysis of the fetal electrocardiogram during labour: Nordic observational multicentre study. J Matern Fetal Neonatal Med 2002, 12:260-266.
8. Norén H., Amer-Wåhlin I., Hagberg H., et al. Fetal electrocardiography in labor and neonatal outcome: data from the Swedish randomised controlled trial on intrapartum fetal monitoring. Am J Obstet Gynecol 2003, 188:183-192.
9. Ross G.M., Devoe L.D., Rosén K.G. ST-segment analysis of the fetal ECG improves fetal heart rate (FHR) tracing interpretation and clinical decision making. J Matern Fetal Neonatal Med 2004, 15:181-185.
10. Luttkus A.K., Norén H., Stupin J.H., et al. Fetal scalp pH and ST analysis of the fetal ECG as an adjunct to CTG. A multi-centre, observational study. J Perinat Med 2004, 32:486-494.
11. Kwee A., van der Hoorn-van den Beld C.W., Veerman J., et al. STAN S21 fetal heart monitor for fetal surveillance during labor: an observational study in 637 patients. J Matern Fetal Neonatal Med 2004, 15(6):400-407.
12. Norén H., Blad S., Carlsson A., et al. STAN in clinical practice-the outcome of 2 years of regular use in the city of Gothenburg. Am J Obstet Gynecol 2006, 195:7-15.
13. Devoe L.D., Ross M., Wilde C., et al. United States multicenter clinical usage study of the STAN 21 electronic fetal monitoring system. Am J Obstet Gynecol 2006, 195:729-734.
14. Dervaitis K.L., Poole M., Schmidt G., et al. ST segment analysis of the fetal electrocardiogram plus electronic fetal heart rate monitoring in labor and its relationship to umbilical cord arterial blood gases. Am J Obstet Gynecol 2004, 191:879-884.
15. Vayssiere C., Haberstich R., Sebahoun V., et al. Fetal electrocardiogram ST-segment analysis and prediction of neonatal acidosis. Int J Gynaecol Obstet 2007, 97:110-114.