Value of Non-Invasive Fetal Monitoring Techniques in Detection of Fetal Metabolic Acidemia at Birth
Objective. Purpose of the study was to evaluate the diagnostic accuracy of fetal pulse oximetry (FPO) and STanalysis of the fetal ECG (STAN) in prediction of fetal acidemia at birth. Methods. A prospective clinical study was conducted at the Department of Obstetrics and Gynaecology, Jessenius Facult...
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| Format: | Article |
| Language: | English |
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Sciendo
2013-11-01
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| Series: | Acta Medica Martiniana |
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| Online Access: | https://doi.org/10.2478/acm-2013-0013 |
| _version_ | 1819276144929669120 |
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| author | Dokus K Matasova K Visnovsky J Dokusova S Danko J. |
| author_facet | Dokus K Matasova K Visnovsky J Dokusova S Danko J. |
| author_sort | Dokus K |
| collection | DOAJ |
| description | Objective. Purpose of the study was to evaluate the diagnostic accuracy of fetal pulse oximetry (FPO) and STanalysis of the fetal ECG (STAN) in prediction of fetal acidemia at birth. Methods. A prospective clinical study was conducted at the Department of Obstetrics and Gynaecology, Jessenius Faculty of Medicine, Martin, Slovakia. In total, 63 out of 70 women with non-reassuring CTG patterns in labour were enrolled. Fetal surveillance during the labour continued with simultaneous CTG plus FPO and STAN monitoring. A receiver operating curve (ROC) analysis was performed to ascertain diagnostic accuracy of individual methods. Results. The study confirmed FPO has a significant ability to detect fetal acidemia at birth (UA-pH ≤ 7.2). The optimum diagnostic cut-off value of SpO2 was 33%, with FPO’s diagnostic sensitivity 60%, and specificity 85.2%. The diagnostic accuracies of STAN + CTG and CTG alone were inferior to that of FPO. Conclusions. FPO has an ability to predict fetal birth acidemia (UA-pH ≤ 7.2), and its diagnostic accuracy is superior to STAN + CTG, or CTG alone monitoring. Condensation.FPO has ability to predict fetal birth acidemia (UA - pH≤7.2), and its diagnostic accuracy is superior to STAN + CTG, or CTG alone monitoring. |
| first_indexed | 2024-12-23T23:35:33Z |
| format | Article |
| id | doaj.art-80395d4c3ed44810a7923fde00890185 |
| institution | Directory Open Access Journal |
| issn | 1335-8421 |
| language | English |
| last_indexed | 2024-12-23T23:35:33Z |
| publishDate | 2013-11-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Acta Medica Martiniana |
| spelling | doaj.art-80395d4c3ed44810a7923fde008901852022-12-21T17:25:52ZengSciendoActa Medica Martiniana1335-84212013-11-01132141910.2478/acm-2013-0013Value of Non-Invasive Fetal Monitoring Techniques in Detection of Fetal Metabolic Acidemia at BirthDokus K0Matasova K1Visnovsky J2Dokusova S3Danko J.4Dept. of Obstetrics and Gynaecology, Jessenius Faculty of Medicine, Comenius University, Martin, SlovakiaDept. of Neonatology, Jessenius Faculty of Medicine, Comenius University, Martin, SlovakiaDept. of Obstetrics and Gynaecology, Jessenius Faculty of Medicine, Comenius University, Martin, SlovakiaNational Endocrinology and Diabetology Institute, Lubochna, SlovakiaDept. of Obstetrics and Gynaecology, Jessenius Faculty of Medicine, Comenius University, Martin, SlovakiaObjective. Purpose of the study was to evaluate the diagnostic accuracy of fetal pulse oximetry (FPO) and STanalysis of the fetal ECG (STAN) in prediction of fetal acidemia at birth. Methods. A prospective clinical study was conducted at the Department of Obstetrics and Gynaecology, Jessenius Faculty of Medicine, Martin, Slovakia. In total, 63 out of 70 women with non-reassuring CTG patterns in labour were enrolled. Fetal surveillance during the labour continued with simultaneous CTG plus FPO and STAN monitoring. A receiver operating curve (ROC) analysis was performed to ascertain diagnostic accuracy of individual methods. Results. The study confirmed FPO has a significant ability to detect fetal acidemia at birth (UA-pH ≤ 7.2). The optimum diagnostic cut-off value of SpO2 was 33%, with FPO’s diagnostic sensitivity 60%, and specificity 85.2%. The diagnostic accuracies of STAN + CTG and CTG alone were inferior to that of FPO. Conclusions. FPO has an ability to predict fetal birth acidemia (UA-pH ≤ 7.2), and its diagnostic accuracy is superior to STAN + CTG, or CTG alone monitoring. Condensation.FPO has ability to predict fetal birth acidemia (UA - pH≤7.2), and its diagnostic accuracy is superior to STAN + CTG, or CTG alone monitoring.https://doi.org/10.2478/acm-2013-0013fetal pulse oximetryst-analysis of the fetal ecgcardiotocographydiagnostic accuracyfetal monitoring |
| spellingShingle | Dokus K Matasova K Visnovsky J Dokusova S Danko J. Value of Non-Invasive Fetal Monitoring Techniques in Detection of Fetal Metabolic Acidemia at Birth Acta Medica Martiniana fetal pulse oximetry st-analysis of the fetal ecg cardiotocography diagnostic accuracy fetal monitoring |
| title | Value of Non-Invasive Fetal Monitoring Techniques in Detection of Fetal Metabolic Acidemia at Birth |
| title_full | Value of Non-Invasive Fetal Monitoring Techniques in Detection of Fetal Metabolic Acidemia at Birth |
| title_fullStr | Value of Non-Invasive Fetal Monitoring Techniques in Detection of Fetal Metabolic Acidemia at Birth |
| title_full_unstemmed | Value of Non-Invasive Fetal Monitoring Techniques in Detection of Fetal Metabolic Acidemia at Birth |
| title_short | Value of Non-Invasive Fetal Monitoring Techniques in Detection of Fetal Metabolic Acidemia at Birth |
| title_sort | value of non invasive fetal monitoring techniques in detection of fetal metabolic acidemia at birth |
| topic | fetal pulse oximetry st-analysis of the fetal ecg cardiotocography diagnostic accuracy fetal monitoring |
| url | https://doi.org/10.2478/acm-2013-0013 |
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