Future perspectives in intrapartum fetal surveillance

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Electronic fetal monitoring (EFM) has aided intrapartum fetal surveillance for more than four decades. In spite of numerous trials comparing EFM with standard fetal heart rate (FHR) auscultation, it remains unclear that this modality has led to improved perinatal outcomes, especially lower rates of perinatal morbidity and mortality. A variety of ancillary methods have been developed to improve the accuracy of EFM for predicting fetal compromise. At present, a limited number of studies have shown that the addition of fetal electrocardiogram (ECG) analysis to visual interpretation of FHR patterns resulted in better fetal outcomes. However, the shortcomings of visual interpretation of FHR patterns persist. Although automated systems for FHR analysis have been developed, they have not been widely used or proven to enhance the value of intrapartum fetal surveillance. This article discusses future directions for novel intrapartum fetal surveillance systems that leverage the long experience gained from EFM to enhance the level of risk assessment and prognosis.

Original languageEnglish (US)
Pages (from-to)98-106
Number of pages9
JournalBest Practice and Research: Clinical Obstetrics and Gynaecology
Volume30
DOIs
StatePublished - Jan 1 2016

Fingerprint

Cardiotocography
Fetal Heart Rate
Heart Auscultation
Perinatal Mortality
Electrocardiography
Morbidity

Keywords

  • computer
  • electronic fetal monitoring
  • intelligent systems
  • risk assessment

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Future perspectives in intrapartum fetal surveillance. / Devoe, Lawrence D.

In: Best Practice and Research: Clinical Obstetrics and Gynaecology, Vol. 30, 01.01.2016, p. 98-106.

Research output: Contribution to journalArticle

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