Cardiotocography patterns and risk of intrapartum fetal acidemia

Journal of Perinatal Medicine

Volumn 43, Issue 4, 2015, Pages 473-479

  Holzmann, Malin ^a,b   Wretler, Stina ^a   Cnattingius, Sven ^a   Nordström, Lennart ^a  

^a KAROLINSKA INSTITUTE   (Sweden)

^b KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Cardiotocography (CTG); fetal blood sampling (FBS); fetal distress; fetal monitoring; metabolic acidosis

Indexed keywords

GLUCOSE; LACTIC ACID;

ADOLESCENT; ADULT; ARTICLE; CARDIOTOCOGRAPHY; DISEASE SEVERITY; FEMALE; FETUS; FETUS BLOOD SAMPLING; FETUS HYPOXIA; FETUS MONITORING; FETUS RISK; GLUCOSE BLOOD LEVEL; HUMAN; INTRAPARTUM FETAL ACIDEMIA; LABOR; LACTATE BLOOD LEVEL; LACTIC ACIDEMIA; MAJOR CLINICAL STUDY; METABOLIC ACIDOSIS; PRIORITY JOURNAL; SCALP; TACHYCARDIA; ACIDOSIS, LACTIC; FETAL DISEASES; MIDDLE AGED; PREGNANCY; PROSPECTIVE STUDY; YOUNG ADULT;

ACIDOSIS, LACTIC; ADOLESCENT; ADULT; CARDIOTOCOGRAPHY; FEMALE; FETAL DISEASES; HUMANS; MIDDLE AGED; PREGNANCY; PROSPECTIVE STUDIES; YOUNG ADULT;

EID: 84936989217     PISSN: 03005577     EISSN: 16193997     Source Type: Journal    
DOI: 10.1515/jpm-2014-0105     Document Type: Article

References (35)

1. Alfirevic Z, Devane D, Gyte GM. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database Syst Rev. 2013;5:CD006066.
2. Althaus JE, Petersen SM, Fox HE, Holcroft CJ, Graham EM. Can electronic fetal monitoring identify preterm neonates with cerebral white matter injury? Obstet Gynecol. 2005;105:458-65.
3. Beard RW, Filshie GM, Knight CA, Roberts GM. The significance of the changes in the continuous fetal heart rate in the first stage of labour. J Obstet Gynaecol Br Commonwealth. 1971;78:865-81.
4. Bracero LA, Schulman H, Baxi LV. Fetal heart rate characteristics that provide confidence in the diagnosis of fetal wellbeing. Clin Obstet Gynecol. 1986;29:3-11.
5. Engidawork E, Chen Y, Dell'Anna E, Goiny M, Lubec G, Ungerstedt U, et al. Effect of perinatal asphyxia on systemic and intracerebral pH and glycolysis metabolism in the rat. Exp Neurol. 1997;145:390-6.
6. Fleischer A, Schulman H, Jagani N, Mitchell J, Randolph G. The development of fetal acidosis in the presence of an abnormal fetal heart rate tracing. I. The average for gestational age fetus. Am J Obstet Gynecol. 1982;144:55-60.
7. Hamilton E, Warrick P, O'Keeffe D. Variable decelerations: do size and shape matter? J Matern Fetal Neonatal Med. 2012;25:648-53.
8. Heinis AM, Spaanderman ME, Gunnewiek JM, Lotgering FK. Scalp blood lactate for intra-partum assessment of fetal metabolic acidosis. Acta Obstet Gynecol Scand. 2011;90:1107-14.
9. Holzmann M, Nordstrom L. Follow-up national survey (Sweden) of routines for intrapartum fetal surveillance. Acta Obstet Gynecol Scand. 2010;89:712-4.
10. Holzmann M, Cnattingius S, Nordstrom L. Outcome of severe intrapartum acidemia diagnosed with fetal scalp blood sampling. J Perinat Med. 2011;39:545-8.
11. Ingemarsson I, Arulkumaran S, Ratnam SS. Single injection of terbutaline in term labor. I. Effect on fetal pH in cases with prolonged bradycardia. Am J Obstet Gynecol. 1985;153:859-65.
12. International Federation of Gynaecology & Obstetrics, Rooth G, Huch A, Huch R. Guidelines for the use of fetal monitoring. Int J Gynaecol Obstet. 1987;25:159-67.
13. Kruger K, Hallberg B, Blennow M, Kublickas M, Westgren M. Predictive value of fetal scalp blood lactate concentration and pH as markers of neurologic disability. Am J Obstet Gynecol. 1999;181:1072-8.
14. Kubli FW, Hon EH, Khazin AF, Takemura H. Observations on heart rate and pH in the human fetus during labor. Am J Obstet Gynecol. 1969;104:1190-206.
15. 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:S3-56.
16. Macones GA, Hankins GD, 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.
17. National Institute for Clinical Excellence. Intrapartum care: care of healthy women and their babies during childbirth. Manchester: National Institute for Health and Clinical Excellence; 2007.
18. Nelson KB, Dambrosia JM, Ting TY, Grether JK. Uncertain value of electronic fetal monitoring in predicting cerebral palsy. N Engl J Med. 1996;334:613-8.
19. Nordström L, Waldenström U. Handläggning av normal förlossning. In: Welfare TNBoHa, editor. Stockholm: Socialstyrelsen; 2001. p. 69.
20. Nordstrom L, Achanna S, Naka K, Arulkumaran S. Fetal and maternal lactate increase during active second stage of labour. BJOG. 2001;108:263-8.
21. Nordstrom L, Chua S, Roy A, Arulkumaran S. Quality assessment of two lactate test strip methods suitable for obstetric use. J Perinat Med. 1998;26:83-8.
22. Ojala K, Makikallio K, Haapsamo M, Ijas H, Tekay A. Interobserver agreement in the assessment of intrapartum automated fetal electrocardiography in singleton pregnancies. Acta Obstet Gynecol Scand. 2008;87:536-40.
23. Palo P, Erkkola R. Intrapartal cardiotocography in prediction of well-being of small for gestational age newborns. Gynecol Obstet Invest. 1991;31:86-9.
24. Palomaki O, Luukkaala T, Luoto R, Tuimala R. Intrapartum cardiotocography-the dilemma of interpretational variation. J Perinat Med. 2006;34:298-302.
25. Parer JT, Krueger TR, Harris JL. Fetal oxygen consumption and mechanisms of heart rate response during artificially produced late decelerations of fetal heart rate in sheep. Am J Obstet Gynecol. 1980;136:478-82.
26. Rooth G. Perinatal acid-base balance. Lund: Studentlitteratur; 1988.
27. Saling E. The measurement of fetal heart-rate and acid-base balance. 2nd Europ Cong Perinat Med. London: Karger; 1971.
28. Skupski DW, Eglinton GS. Intrapartum fetal stimulation tests: A meta-analysis. Obstet Gynecol. 2002;100:830.
29. Steer PJ, Eigbe F, Lissauer TJ, Beard RW. Interrelationships among abnormal cardiotocograms in labor, meconium staining of the amniotic fluid, arterial cord blood pH, and Apgar scores. Obstet Gynecol. 1989;74:715-21.
30. Swedish Society of Obstetrics and Gynecology. Guidelines for CTG interpretation and intervention. https://www. sfog. se/ media/17094/ctg-kort-slutversion. pdf. https://www. sfog. se/ start/rad-riktlinjer/sfog-rad-obstetrik/forlossning/: Swedish Society of Obstetrics and Gynecology; 2009.
31. Vintzileos AM, Nochimson DJ, Antsaklis A, Varvarigos I, Guzman ER, Knuppel RA. Comparison of intrapartum electronic fetal heart rate monitoring versus intermittent auscultation in detecting fetal acidemia at birth. Am J Obstet Gynecol. 1995;173:1021-4.
32. Westerhuis ME, Strasser SM, Moons KG, Mol BW, Visser GH, Kwee A. [Intrapartum foetal monitoring: from stethoscope to ST analysis of the ECG]. Nederlands Tijdschrift Voor Geneeskunde. 2009;153:B259.
33. Westerhuis ME, van Horen E, Kwee A, van der Tweel I, Visser GH, Moons KG. Inter-and intra-observer agreement of intrapartum ST analysis of the fetal electrocardiogram in women monitored by STAN. BJOG. 2009;16:545-51.
34. Wiberg-Itzel E, Lipponer C, Norman M, Herbst A, Prebensen D, Hansson A, et al. Determination of pH or lactate in fetal scalp blood in management of intrapartum fetal distress: randomised controlled multicentre trial. Br Med J. 2008;336:1284-7.
35. Williams KP, Galerneau F. Intrapartum fetal heart rate patterns in the prediction of neonatal acidemia. Am J Obstet Gynecol. 2003;188:820-3.