STAN in clinical practice -: The outcome of 2 years of regular use in the city of Gothenburg

被引:51
作者
Noren, Hakan [1 ]
Blad, Sofia
Carlsson, Ann
Flisberg, Anders
Gustavsson, Annika
Lilja, Hakan
Wennergren, Margareta
Hagberg, Henrik
机构
[1] Sahlgrens Univ Hosp, Dept Obstet & Gynecol, Perinatal Ctr, SE-41685 Gothenburg, Sweden
[2] Sahlgrens Univ Hosp, Dept Pediat, SE-41685 Gothenburg, Sweden
[3] Gothenburg Univ, Dept Physiol, S-41124 Gothenburg, Sweden
关键词
fetal ECG; intrapartum surveillance; perinatal asphyxia;
D O I
10.1016/j.ajog.2006.01.108
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: The purpose of this study was to monitor the introduction of the STAN-methodology (Noventa Medical, Moelndal, Sweden). Study design: This was a prospective observational study covering the total population of deliveries at term during 2 years. Four thousand eight hundred and thirty out of 14,687 term pregnancies were monitored using the STAN S 21 fetal heart monitor and the associated clinical guidelines. Cord artery metabolic acidosis, neonatal outcome, and rates of operative deliveries for fetal distress were assessed. Results: The annual rate of STAN usage increased from 28.1% to 37.7% and was associated with a significant reduction in metabolic acidosis rate in the total population from 0.76% to 0.44% (P < .05). The compliance with the clinical guidelines increased in cases requiring intervention. The rates for moderate/severe hypoxic neonatal encephalopathy were consistently low, 0.55 and 0.68 per 1000 deliveries, respectively, and corresponding to previous findings. The rate of operative delivery did not change during the 2 years in the total population. Conclusion: Increasing STAN usage provided consistent improvements in fetal outcome equalling those noted in the Swedish randomized controlled trial (RCT) without increasing operative interventions for fetal distress. (c) 2006 Mosby, Inc. All rights reserved.
引用
收藏
页码:7 / 15
页数:9
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