The added predictive value of biphasic events in ST analysis of the fetal electrocardiogram for intrapartum fetal monitoring

Acta Obstetricia et Gynecologica Scandinavica

Volumn 94, Issue 2, 2015, Pages 175-182

  Becker, Jeroen H ^a   Krikhaar, Anniek ^b   Schuit, Ewoud ^b   Martendal, Annika ^c   Maršál, Karel ^c   Kwee, Anneke ^d   Visser, Gerard H A ^b   Amer Wahlin, Isis ^e  

^a Zuwe Hofpoort Ziekenhuis   (Netherlands)

^b UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

^c Neoventa Medical AB   (Sweden)

^d LUND UNIVERSITY   (Sweden)

^e KAROLINSKA INSTITUTE   (Sweden)

Author keywords

Biphasic events; fetal electrocardiogram; neonatal outcome; ST analysis

Indexed keywords

ADVERSE OUTCOME; APGAR SCORE; ARTICLE; CARDIOTOCOGRAPHY; CONTROLLED STUDY; EXTRACELLULAR FLUID; FEMALE; FETUS; FETUS DISTRESS; FETUS ELECTROCARDIOGRAPHY; FETUS MONITORING; GESTATION PERIOD; HUMAN; LABOR; MAJOR CLINICAL STUDY; METABOLIC ACIDOSIS; NEWBORN INTENSIVE CARE; PERINATAL DEATH; PREDICTIVE VALUE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; ST SEGMENT; UMBILICAL CORD; UMBILICAL CORD PH; AREA UNDER THE CURVE; ELECTROCARDIOGRAPHY; FETAL DISTRESS; FETUS HEART; PATHOPHYSIOLOGY; PREGNANCY; PREGNANCY OUTCOME; PROCEDURES;

AREA UNDER CURVE; CARDIOTOCOGRAPHY; ELECTROCARDIOGRAPHY; FEMALE; FETAL DISTRESS; FETAL HEART; FETAL MONITORING; HUMANS; PREGNANCY; PREGNANCY OUTCOME;

EID: 84921488445     PISSN: 00016349     EISSN: 16000412     Source Type: Journal    
DOI: 10.1111/aogs.12548     Document Type: Article

References (26)

1. Amer-Wahlin I, Nord A, Bottalico B, Hansson SR, Ley D, Marsal K, et al. Fetal cerebral energy metabolism and electrocardiogram during experimental umbilical cord occlusion and resuscitation. J Matern Fetal Neonatal Med. 2010; 23: 158-66.
2. Hokegard KH, Karlsson K, Kjellmer I, Rosen KG,. ECG-changes in the fetal lamb during asphyxia in relation to beta-adrenoceptor stimulation and blockade. Acta Physiol Scand. 1979; 105: 195-203.
3. Rosen KG, Dagbjartsson A, Henriksson BA, Lagercrantz H, Kjellmer I,. The relationship between circulating catecholamines and ST waveform in the fetal lamb electrocardiogram during hypoxia. Am J Obstet Gynecol. 1984; 149: 190-5.
4. Westgate JA, Bennet L, Brabyn C, Williams CE, Gunn AJ,. ST waveform changes during repeated umbilical cord occlusions in near-term fetal sheep. Am J Obstet Gynecol. 2001; 184: 743-51.
5. Amer-Wahlin I, Hellsten C, Noren 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.
6. Becker JH, Bax L, Amer-Wahlin I, Ojala K, Vayssiere C, Westerhuis ME, et al. ST analysis of the fetal electrocardiogram in intrapartum fetal monitoring: a meta-analysis. Obstet Gynecol. 2012; 119: 145-54.
7. Neilson JP,. Fetal electrocardiogram (ECG) for fetal monitoring during labor. Cochrane Database Syst Rev. 2012; 4: CD000116.
8. Neilson JP,. Fetal electrocardiogram (ECG) for fetal monitoring during labor. Cochrane Database Syst Rev. 2006; 3: CD000116.
9. Ojala K, Vaarasmaki M, Makikallio K, Valkama M, Tekay A,. A comparison of intrapartum automated fetal electrocardiography and conventional cardiotocography-a randomised controlled study. BJOG. 2006; 113: 419-23.
10. Vayssiere 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.
11. Westerhuis ME, Visser GH, Moons KG, Zuithoff N, Mol BW, Kwee A,. Cardiotocography plus ST analysis of fetal electrocardiogram compared with cardiotocography only for intrapartum monitoring: a randomized controlled trial. Obstet Gynecol. 2011; 117: 406-7.
12. 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.
13. Widmark C, Lindecrantz K, Murray H, Rosen KG,. Changes in the PR, RR intervals and ST waveform of the fetal lamb electrocardiogram with acute hypoxemia. J Dev Physiol. 1992; 18: 99-103.
14. Yli BM, Kallen K, Stray-Pedersen B, Amer-Wahlin I,. Intrapartum fetal ECG and diabetes. J Matern Fetal Neonatal Med. 2008; 21: 231-8.
15. Yli BM, Kallen K, Khoury J, Stray-Pedersen B, Amer-Wahlin I,. Intrapartum cardiotocography (CTG) and ST-analysis of labor in diabetic patients. J Perinat Med. 2011; 39: 457-65.
16. Noren H, Amer-Wahlin I, Hagberg H, Herbst A, Kjellmer I, Marsal K, et al. Fetal electrocardiography in labor and neonatal outcome: data from the swedish randomized controlled trial on intrapartum fetal monitoring. Am J Obstet Gynecol. 2003; 188: 183-92.
17. Kwee A, Dekkers AH, van Wijk HP, van der Hoorn-van den Beld CW, Visser GH,. Occurrence of ST-changes recorded with the STAN S21-monitor during normal and abnormal fetal heart rate patterns during labor. Eur J Obstet Gynecol Reprod Biol. 2007; 135: 28-34.
18. Amer-Wahlin I, Kjellmer I, Marsal K, Olofsson P, Rosen KG,. Swedish randomized controlled trial of cardiotocography only versus cardiotocography plus ST analysis of fetal electrocardiogram revisited: analysis of data according to standard versus modified intention-to-treat principle. Acta Obstet Gynecol Scand. 2011; 90: 990-6.
19. Amer-Wahlin I, Arulkumaran S, Hagberg H, Marsal K, Visser GH,. Fetal electrocardiogram: ST waveform analysis in intrapartum surveillance. BJOG. 2007; 114: 1191-3.
20. FIGO News. Guidelines for the use of fetal monitoring. Int J Gynaecol Obstet. 1987; 25: 159-67.
21. Badawi N, Kurinczuk JJ, Keogh JM, Alessandri LM, O'Sullivan F, Burton PR, et al. Intrapartum risk factors for newborn encephalopathy: the western australian case-control study. BMJ. 1998; 317: 1554-8.
22. Cotzias CS, Paterson-Brown S, Fisk NM,. Prospective risk of unexplained stillbirth in singleton pregnancies at term: population based analysis. BMJ. 1999; 319: 287-8.
23. Hilder L, Costeloe K, Thilaganathan B,. Prolonged pregnancy: evaluating gestation-specific risks of fetal and infant mortality. BJOG. 1998; 105: 169-73.
24. McIntyre HD, Thomae MK, Wong SF, Idris N, Callaway LK,. Pregnancy in type 2 diabetes mellitus-problems & promises. Curr Diabetes Rev. 2009; 5: 190-200.
25. Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR,. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996; 49: 1373-9.
26. Kessler J, Moster D, Albrechtsen S,. Delay in intervention increases neonatal morbidity in births monitored with cardiotocography and ST-waveform analysis. Acta Obstet Gynecol Scand. 2014; 93: 175-81.