医学
电子胎儿监护
胎儿监护
产科
干预(咨询)
胎儿
重症监护医学
心电图
怀孕
胎心率
护理部
心率
遗传学
生物
血压
放射科
作者
Rubymel J. Knupp,William Andrews,Alan T. Tita
标识
DOI:10.1016/j.bpobgyn.2020.02.004
摘要
Continuous electronic fetal monitoring (EFM) was first introduced commercially over 50 years ago with the hope of improving perinatal outcomes during labor. However, despite the increased use of EFM, definitive improvements in perinatal outcomes have not been demonstrated. Variance in tracing interpretation and intervention has led to increased rates of cesarean and operative vaginal deliveries and perhaps increased maternal and neonatal morbidity. Since its inception, several strategies have been developed in hopes of optimizing EFM and improving these outcomes. We discuss the current standards of intrapartum fetal monitoring and review optimization strategies and technologies in development to improve intrapartum fetal monitoring.
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