New perspectives in electronic fetal surveillance

Journal of Perinatal Medicine

Volumn 41, Issue 1, 2013, Pages 83-92

  Hamilton, Emily F ^a,b   Warrick, Philip A ^a  

^a PeriGen   (Canada)

^b MCGILL UNIVERSITY   (Canada)

Author keywords

Electronic fetal monitoring; Fetal heart rate; Metabolic acidemia

Indexed keywords

ACIDEMIA; ALKALOSIS; ARTERIAL PH; BLOOD OXYGEN TENSION; BRADYCARDIA; BRAIN PERFUSION; CLINICAL PRACTICE; CLINICAL TRIAL (TOPIC); ELECTROMAGNETIC FIELD; ELECTRONIC FETAL SURVEILLANCE; ELECTRONIC MEDICAL RECORD; ELECTRONIC SENSOR; FETAL HEART MONITOR; FETUS ELECTROCARDIOGRAPHY; FETUS HEART RATE; FETUS MONITORING; FETUS OUTCOME; HEART FUNCTION; HEART PERFUSION; HEART RATE VARIABILITY; HUMAN; INSTRUMENTAL DELIVERY; INTRAUTERINE PRESSURE; MACHINE LEARNING; METABOLIC ACIDOSIS; NONHUMAN; OUTCOME ASSESSMENT; PATTERN RECOGNITION; PRACTICE GUIDELINE; PRIORITY JOURNAL; QRS COMPLEX; REVIEW; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; SIGNAL NOISE RATIO; ST SEGMENT; T WAVE; UMBILICAL ARTERY; UTERUS CONTRACTION; UTERUS RUPTURE; FEMALE; FETUS; FETUS DISTRESS; METHODOLOGY; PHYSIOLOGY; PREGNANCY; STANDARD;

FEMALE; FETAL DISTRESS; FETAL MONITORING; FETUS; HEART RATE, FETAL; HUMANS; PREGNANCY;

EID: 84881647191     PISSN: 03005577     EISSN: 16193997     Source Type: Journal    
DOI: 10.1515/jpm-2012-0024     Document Type: Review

References (76)

1. American College of Obstetricians and Gynecologists. Intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles. ACOG Practice Bulletin 106, 2009.
2. Amer-Wåhlin I, Hellsten C, Norén H, Hagberg H, Herbst A, Kjellmer I, et al. Cardiotocography only versus cardiotocography plus ST analysis of fetal electrocardiogram for intrapartum fetal monitoring: a Swedish randomised controlled trial. Lancet. 2001;358:534-8.
3. Bannerman CG, Grobman WA, Antoniewicz L, Hutchinson M, Blackwell S. Assessment of the concordance among 2-tier, 3-tier, and 5-tier fetal heart rate classification systems. Am J Obstet Gynecol. 2011;205:288.e1-4.
4. Becher JC, Stenson BJ, Lyon AJ. Is intrapartum asphyxia preventable? Br J Obstet Gynaecol. 2007;114:1442-4.
5. Belfort MA, Saade GR. ST segment analysis as an adjunct to electronic fetal monitoring, Part I: background, physiology, and interpretation. Clin Perinatol. 2011;38:143-57.
6. Belfort MA, Saade GR. ST segment analysis (STAN) as an adjunct to electronic fetal monitoring, Part II: clinical studies and future directions. Clin Perinatol. 2011;38:159-67.
7. Bell R, Glinianaia SV, Rankin J, Wright C, Pearce MS, Parker L. Changing patterns of perinatal death, 1982-2000: a retrospective cohort study. Arch Dis Child Fetal Neonatal Ed. 2004;89:F531-6.
8. Bocking AD. The relationship between heart rate and asphyxia in the animal fetus. Clin Invest Med. 1993;16:166-75.
9. Bohmer RM. The four habits of high-value health care organizations. N Engl J Med. 2011;365:2045-7.
10. Chen HY, Chauhan SP, Ananth CV, Vintzileos AM, Abuhamad AZ. Electronic fetal heart rate monitoring and its relationship to neonatal and infant mortality in the United States. Am J Obstet Gynecol. 2011;204:491.e1-10.
11. Clark SL, Belfort MA, Dildy GA, Meyers JA. Reducing obstetric litigation through alterations in practice patterns. Obstet Gynecol. 2008;112:1279-83.
12. Clark SL, Meyers JA, Frye DK, Perlin JA. Patient safety in obstetrics-the Hospital Corporation of America experience. Am J Obstet Gynecol. 2011;204:283-7.
13. Clifford G, Sameni R, Ward J, Robinson J, Wolfberg AJ. Clinically accurate fetal ECG parameters acquired from maternal abdominal sensors. Am J Obstet Gynecol. 2011;205:47. e1-5.
14. Cooper JM, Soffronoff EC, Bolognese RJ. Oxytocin challenge test in monitoring high-risk pregnancies. Obstet Gynecol. 1975;45:27-33.
15. Corometrics 120 series V3.5 operators manual P/N 2015589-001 Rev. C. Barrington, IL, USA: GE Medical Systems Information Technologies.
16. Costa A, Ayres-de-Campos D, Costa F, Santos C, Bernardes J. Prediction of neonatal acidemia by computer analysis of fetal heart rate and ST event signals. Am J Obstet Gynecol. 2009;201:464.e1-6.
17. Cyr RM, Usher RH, McLean FH. Changing patterns of birth asphyxia and trauma over 20 years. Am J Obstet Gynecol. 1984;148:490-8.
18. Dalton KJ, Dawes GS, Patrick JE. Diurnal, respiratory, and other rhythms of fetal heart rate in lambs. Am J Obstet Gynecol. 1977;127:414-24.
19. Dervaitis KL, Poole M, Schmidt G, Penava D, Natale R, Gagnon R. 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;191:879-84.
20. Digital interface protocol specifications. Programmer's guide. Series 50 fetal monitors part number M1350-9074S. Germany: Philips; 2002.
21. Dildy GA. Fetal pulse oximetry. Clin Obstet Gynecol. 2011;54:66-73.
22. Doret M, Helgason H, Abry P, Goncalves P, Gharib C, Gaucherand P. Multifractal analysis of fetal heart rate variability in fetuses with and without severe acidosis during labor. Am J Perinatol. 2011;28:259-66.
23. Draper ES, Kurinczuk JJ, Lamming CR, Clarke M, James D, Field D. A confidential enquiry into cases of neonatal encephalopathy. Arch Dis Child Fetal Neonatal Ed. 2002;87:F176-80.
24. Electronic fetal heart rate monitoring: research guidelines for interpretation. National Institute of Child Health and Human Development research planning workshop. Am J Obstet Gynecol. 1997;177:1385-90.
25. Elliott C, Warrick PA, Graham E, Hamilton EF. Graded classification of fetal heart rate tracings: association with neonatal metabolic acidosis and neurologic morbidity. Am J Obstet Gynecol. 2010;202:258.e1-8.
26. Euliano NR, Principe J, Edwards RK. Spatiotemporal electrohysterography patterns in normal and arrested labor. Am J Obstet Gynecol. 2009;200:54.e1-7.
27. Fioratou E, Flin R, Glavin R, Patey R. Beyond monitoring: distributed situation awareness in anaesthesia. Br J Anaesth. 2010;105:83-90.
28. Frasch MG, Müller T, Weiss C, Schwab K, Schübert H, Schwab M. Heart rate variability analysis allows early asphyxia detection in ovine fetus. Reprod Sci. 2009;16:509-17.
29. Freeman R, Garite T, Nageotte M. Fetal heart monitoring. Philadelphia, PA: Lippincott, Williams & Wilkins; 2003.
30. Graatsma EM, Jacod BC, van Egmond LA, Mulder EJ, Visser GH. Fetal electrocardiography: feasibility of long-term fetal heart rate recordings. Br J Obstet Gynaecol. 2009;116:334-7.
31. Hasley SK. Decision support and patient safety: the time has come. Am J Obstet Gynecol. 2011;204:461-5.
32. Hull J, Dodd KL. Falling incidence of hypoxic-ischaemic encephalopathy in term infants. Br J Obstet Gynaecol. 1992;99:386-91.
33. Ikenoue T, Martin CB Jr, Murata Y, Ettinger BB, Lu PS. Effect of acute hypoxemia and respiratory acidosis on the fetal heart rate in monkeys. Am J Obstet Gynecol. 1981;141:797-806.
34. INFANT clinical trial. Available at https://www.npeu.ox.ac.uk/infant. Accessed 21 May 2012.
35. Joint Commission on Accreditation of Healthcare Organizations, USA. Preventing infant death and injury during delivery. Sentinel Event Alert. 2004;30:1-3.
36. Jones DG, Endsley MR. Sources of situation awareness errors in aviation. Aviat Space Environ Med. 1996;67:507-12.
37. Knox GE, Simpson KR. Perinatal high reliability. Am J Obstet Gynecol. 2011;204:373-7.
38. Kwon JY, Park IY, Shin JC, Song J, Tafreshi R, Lim J. Specific change in spectral power of fetal heart rate variability related to fetal acidemia during labor: comparison between preterm and term fetuses. Early Hum Dev. 2012;88:203-7.
39. Leung TY, Chung PW, Rogers MS, Sahota DS, Lao TT, Hung Chung TK. Urgent cesarean delivery for fetal bradycardia. Obstet Gynecol. 2009;114:1023-8.
40. Lewinsky RM. Cardiac systolic time intervals and other parameters of myocardial contractility as indices of fetal acid-base status. Baillieres Clin Obstet Gynaecol. 1994;8:663-81.
41. Liston R, Sawchuck D, Young D. Society of Obstetrics and Gynaecologists of Canada, British Columbia Perinatal Health Program. Fetal health surveillance: antepartum and intrapartum consensus guideline. J Obstet Gynaecol Can. 2007;29(Suppl):S3-56 [erratum in: J Obstet Gynaecol Can. 2007;29:909].
42. Lucovnik M, Maner WL, Chambliss LR, Blumrick R, Balducci J, Novak-Antolic Z, et al. Noninvasive uterine electromyography for prediction of preterm delivery. Am J Obstet Gynecol. 2011;204:228.e1-10.
43. MacDonald D, Grant A, Sheridan-Pereira M, Boylan P, Chalmers I. The Dublin randomized controlled trial of intrapartum fetal heart rate monitoring. Am J Obstet Gynecol. 1985; 152:524-39.
44. Macones GA, Hankins GDV, Spong CY, Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring. Update on definitions, interpretation, and research guidelines. Obstet Gynecol. 2008;112:661-6.
45. Martin CB Jr. Physiology and clinical use of fetal heart rate variability. Clin Perinatol. 1982;9:339-52.
46. Martin CB Jr, de Haan J, van der Wildt B, Jongsma HW, Dieleman A, Arts TH. Mechanisms of late decelerations in the fetal heart rate. A study with autonomic blocking agents in fetal lambs. Eur J Obstet Gynecol Reprod Biol. 1979;9:361-73.
47. Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Mathews TJ, Kirmeyer S, et al. Births: final data for 2007. Natl Vital Stat Rep. 2010;58:1-85.
48. Melin M, Bonnevier A, Cardell M, Hogan L, Herbst A. Changes in the ST-interval segment of the fetal electrocardiogram in relation to acid-base status at birth. Br J Obstet Gynaecol. 2008;115:1669-75.
49. Ojala K, Vääräsmäki M, Mäkikallio K, Valkama M, Tekay A. A comparison of intrapartum automated fetal electrocardiography and conventional cardiotocography-a randomised controlled study. Br J Obstet Gynaecol. 2006;113:419-23.
50. Oppenheimer LW, Lewinsky RM. Power spectral analysis of fetal heart rate. Baillieres Clin Obstet Gynaecol. 1994;8:643-61.
51. Parer JT, Ikeda T. A framework for standardized management of intrapartum fetal heart rate patterns. Am J Obstet Gynecol. 2007;197:26.e1-6.
52. Parer WJ, Parer JT, Holbrook RH, Block BS. Validity of mathematical methods of quantitating fetal heart rate variability. Am J Obstet Gynecol. 1985;153:402-9.
53. Parush A, Campbell C, Hunter A, Ma C, Calder L, Worthington J, et al. Situational awareness. Ottawa, ON: Royal College of Physicians and Surgeons of Canada; 2011. Available at http://rcpsc.medical.org/canmeds/resources/primer- situational-awareness-patient-safety-e.pdf. Accessed 10 January 2011.
54. Pasupathy D, Wood AM, Pell JP, Fleming M, Smith GC. Rates of and factors associated with delivery-related perinatal death among term infants in Scotland. JAMA. 2009;302:660-8.
55. Peck T. Electronic monitoring evidence of fetal distress in highrisk pregnancies. J Reprod Med. 1980;24:103-8.
56. Pettker CM, Thung SF, Raab CA, Donohue KP, Copel JA, Lockwood CJ, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204:216.e1-6.
57. Ransom SB, Studdert DM, Dombrowski MP, Mello MM, Brennan TA. Reduced medicolegal risk by compliance with obstetric clinical pathways: a case-control study. Obstet Gynecol. 2003;101:751-5.
58. Ray M, Freeman R, Pine S, Hesselgesser R. Clinical experience with the oxytocin challenge test. Am J Obstet Gynecol. 1972;114:1-9.
59. Reason JT. Understanding adverse events: the Hyman factor. In: Vincent C, editor. Clinical risk management. London, UK: BMJ Books; 2001.
60. Riley RJ, Johnson JW. Collecting and analyzing cord blood gases. Clin Obstet Gynecol. 1993;36:13-23.
61. Rosen KG, Amer-Wahlin I, Luzietti R, Noren H. Fetal ECG waveform analysis. Best Pract Res Clin Obstet Gynaecol. 2004;18:485-514.
62. Royal College of Obstetricians and Gynecologists Clinical Effectiveness Support Unit. The use of electronic fetal monitoring. Evidence-based clinical guideline no. 8. London: RCOG Press; 2001.
63. Saphier CJ, Thomas EJ, Studdert D, Brennan TA, Acker D. Applying no-fault compensation criteria to obstetric malpractice claims. Prim Care Update Ob Gyns. 1998;5:208-9.
64. Siira SM, Ojala TH, Vahlberg TJ, Jalonen JO, Välimäki IA, Rosén KG, et al. Marked fetal acidosis and specific changes in power spectrum analysis of fetal heart rate variability recorded during the last hour of labour. Br J Obstet Gynaecol. 2005;112:418-23.
65. Singh H, Davis Giardina T, Petersen LA, Smith MW, Paul LW, Dismukes K, et al. Exploring situational awareness in diagnostic errors in primary care. BMJ Qual Saf. 2011;21:30-8.
66. Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15:159-64.
67. Smith J, Wells L, Dodd K. The continuing fall in incidence of hypoxic-ischaemic encephalopathy in term infants. Br J Obstet Gynaecol. 2000;107:461-6.
68. Street P, Dawes GS, Moulden M, Redman CW. Short-term variation in abnormal antenatal fetal heart rate records. Am J Obstet Gynecol. 1991;165:515-23.
69. van Laar JO, Peters CH, Vullings R, Houterman S, Bergmans JW, Oei SG. Fetal autonomic response to severe acidaemia during labour. Br J Obstet Gynaecol. 2010;117:429-37.
70. van Wijngaarden WJ, James DK, Symonds EM. The fetal electrocardiogram. Baillieres Clin Obstet Gynaecol. 1996;10: 273-94.
71. Vayssière C, David E, Meyer N, Haberstich R, Sebahoun V, Roth E, 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.
72. Vayssiere C, Haberstich R, Sebahoun V, David E, Roth E, Langer B. Fetal electrocardiogram ST-segment analysis and prediction of neonatal acidosis. Int J Gynaecol Obstet. 2007;97: 110-4.
73. Warrick PA, Hamilton EF, Precup D, Kearney RE. Identification of the dynamic relationship between intrapartum uterine pressure and fetal heart rate for normal and hypoxic fetuses. IEEE Trans Biomed Eng. 2009;56:1587-97.
74. Warrick PA, Hamilton EF, Precup D, Kearney RE. Classification of normal and hypoxic fetuses from systems modeling of intrapartum cardiotocography. IEEE Trans Biomed Eng. 2010;57:771-9.
75. Westerhuis ME, Visser GH, Moons KG, van Beek E, Benders MJ, Bijvoet SM, et al. Cardiotocography plus ST analysis of fetal electrocardiogram compared with cardiotocography only for intrapartum monitoring: a randomized controlled trial. Obstet Gynecol. 2010;115:1173-80 [erratum in: Obstet Gynecol. 2011;117(Pt 1):412].
76. Westgate J, Harris M, Curnow JS, Greene KR. Plymouth randomized trial of cardiotocogram only versus ST waveform plus cardiotocogram for intrapartum monitoring in 2400 cases. Am J Obstet Gynecol. 1993;169:1151-60.