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Cardiotocography

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https://www.readbyqxmd.com/read/28524258/cardiotocography-interpretation-skills-and-the-association-with-size-of-maternity-unit-years-of-obstetric-work-experience-and-healthcare-professional-background-a-national-cross-sectional-study
#1
Line Thellesen, Jette Led Sorensen, Morten Hedegaard, Susanne Rosthoej, Nina Palmgren Colov, Kristine Sylvan Andersen, Thomas Bergholt
INTRODUCTION: We aimed to examine whether cardiotocography (CTG) knowledge, interpretation skills and decision-making measured by a written assessment were associated with size of maternity unit, years of obstetric work experience and healthcare professional background. MATERIAL AND METHODS: A national cross-sectional study in the setting of a CTG teaching intervention involving all 24 maternity units in Denmark. Participants were midwives (n=1260) and specialists (n=269) and residents (n=142) in obstetrics and gynecology who attended a one-day CTG course and answered a 30-item multiple-choice question test...
May 19, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28521768/development-of-a-written-assessment-for-a-national-interprofessional-cardiotocography-education-program
#2
Line Thellesen, Thomas Bergholt, Morten Hedegaard, Nina Palmgren Colov, Karl Bang Christensen, Kristine Sylvan Andersen, Jette Led Sorensen
BACKGROUND: To reduce the incidence of hypoxic brain injuries among newborns a national cardiotocography (CTG) education program was implemented in Denmark. A multiple-choice question test was integrated as part of the program. The aim of this article was to describe and discuss the test development process and to introduce a feasible method for written test development in general. METHODS: The test development was based on the unitary approach to validity. The process involved national consensus on learning objectives, standardized item writing, pilot testing, sensitivity analyses, standard setting and evaluation of psychometric properties using Item Response Theory models...
May 18, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28488965/mild-to-moderate-foeto-maternal-haemorrhage-in-the-third-trimester-and-at-term-of-pregnancy-quantitative-determination-and-clinical-diagnostic-evaluation
#3
Fausta Beneventi, Chiara Cavagnoli, Elena Locatelli, Silvia Bariselli, Margherita Simonetta, Gianluca Viarengo, Cesare Perotti, Arsenio Spinillo
BACKGROUND: Foeto-maternal haemorrhage (FMH), a gestational event that occurs before or during delivery, consists of a loss of foetal blood into the maternal circulation. FMH occurs more frequently during the third trimester or labour both in normal and complicated pregnancies. In the case of alloimmunisation, the maternal immunological response and the severity of the resulting foetal or neonatal disease depend on the amount of foetal blood that passes into the maternal circulation. The aim of this study was to determine FMH in the third trimester and at term of pregnancy and to evaluate the role of clinical and ultrasound markers in the prediction of FMH...
April 19, 2017: Blood Transfusion, Trasfusione del Sangue
https://www.readbyqxmd.com/read/28484292/correlation-of-oxidative-stress-markers-with-ultrasound-and-cardiotocography-parameters-with-hypertension-induced-pregnancy
#4
Dragica Draganovic, Nenad Lucic, Dragica Jojic, Snjezana Milicevic
INTRODUCTION: Pregnancy induced hypertension (PIH), especially preeclampsia, is a state of extremely increased oxidative stress (OS), due to decrease of antioxidant capacity in comparison to normotensive pregnant women. The consequences of increased state of oxidative stress with hypertension disorder in pregnancy are disorder of placental blood flow, intrauterine hypoxia of the fetus and disturbance in transfer of O2 manifested as pathological ultrasound (US) parameters (amount of amniotic fluid and biophysical profile of fetus) and cardiotocography parameters (CTG)...
March 2017: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/28475393/fetal-scalp-stimulation-fss-versus-fetal-blood-sampling-fbs-for-women-with-abnormal-fetal-heart-rate-monitoring-in-labor-a-prospective-cohort-study
#5
U Tahir Mahmood, C O'Gorman, Z Marchocki, Y M O'Brien, D J Murphy
OBJECTIVE: To evaluate the performance of fetal scalp stimulation (FSS) compared to fetal blood sampling (FBS) as a second line test of fetal wellbeing in labor. STUDY DESIGN: A prospective cohort study was conducted including 298 fetal blood sampling procedures performed due to abnormal fetal cardiotocography (CTG). Two independent observers interpreted the CTG following stimulation. The FSS test was classified as normal when an elicited acceleration and/or provoked fetal heart rate variability was recorded...
May 5, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28473030/-acute-caesarian-section-due-to-renal-tumour-with-spontaneously-emerged-perirenal-haematoma
#6
Mette Høltzermann, Astrid Helene Livbjerg, Anya Sook Eidhammer
A primipara at term was admitted to the labour ward with spontaneously emerged severe abdominal pain in the right flank and kidney. The patient was not known with any obstetric or urologic conditions. An acute caesarian section was performed due to the pain and pathological results of the cardiotocography, and a healthy child was delivered. During surgery, a haematoma was detected in the retroperitoneal space. A computed tomography (CT) of abdomen showed a Bosniak type IV tumour with surrounding haematoma in the kidney...
April 24, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28405117/oligoamnios-and-perinatal-outcome
#7
Sandhyasri Panda, M Jayalakshmi, G Shashi Kumari, G Mahalakshmi, Y Srujan, V Anusha
OBJECTIVES: We aimed at evaluating the predictive value of amniotic fluid index ≤5 on perinatal outcome in terms of effect on cardiotocography, mode of delivery, meconium in liquor, birth weight, fetal distress, APGAR score at birth and neonatal admission to ICU. METHODS: This is a prospective study of 308 antenatal women admitted to labor ward of MIMS during February 2014-December 2015 with gestational ages between 34 and 41 weeks. All women enrolled were subjected to history taking, examination, AFI estimation and compared between those with AFI ≤5 from rest...
April 2017: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/28403965/understanding-fetal-physiology-and-second-line-monitoring-during-labor
#8
REVIEW
C Garabedian, J De Jonckheere, L Butruille, P Deruelle, L Storme, V Houfflin-Debarge
Cardiotocography (CTG) is a technique used to monitor intrapartum fetal condition and is one of the most common obstetric procedures. Second line methods of fetal monitoring have been developed in an attempt to reduce unnecessary interventions due to continuous cardiotocography and to better identify fetuses at risk of intrapartum asphyxia. The acid-base balance of the fetus is evaluated by fetal blood scalp samples, the modification of the myocardial oxygenation by the fetal ECG ST-segment analysis (STAN) and the autonomic nervous system by the power spectral analysis of the fetal heart variability...
February 2017: J Gynecol Obstet Hum Reprod
https://www.readbyqxmd.com/read/28399531/intrapartum-ultrasound-to-differentiate-flexion-and-deflexion-in-occipitoposterior-rotation
#9
Federica Bellussi, Tullio Ghi, Aly Youssef, Ilaria Cataneo, Ginevra Salsi, Giuliana Simonazzi, Gianluigi Pilu
OBJECTIVE: To evaluate the ability of intrapartum ultrasound to differentiate occipitoposterior (OP) rotation with normal flexion of the head from deflexion, to compare the accuracy of ultrasound with the digital examination, and to assess the outcome of labor according to the type of presentation. PATIENTS AND METHODS: A retrospective study of patients with abnormal labor because of either prolongation and/or abnormal cardiotocography and OP rotation who underwent intrapartum sonography...
April 12, 2017: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/28369712/computerized-data-driven-interpretation-of-the-intrapartum-cardiotocogram-a-cohort-study
#10
Antoniya Georgieva, Christopher W G Redman, Aris T Papageorghiou
INTRODUCTION: Continuous intrapartum fetal monitoring remains a significant clinical challenge. We propose using cohorts of routinely collected data. We aim to combine non-classical (data-driven) and classical cardiotocography features with clinical features into a system (OxSys), which generates automated alarms for the fetus at risk of intrapartum hypoxia. We hypothesize that OxSys can outperform clinical diagnosis of "fetal distress", when optimized and tested over large retrospective data sets...
March 28, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28346664/a-cross-sectional-comparison-of-three-guidelines-for-intrapartum-cardiotocography
#11
Meena Bhatia, Kamal R Mahtani, David Nunan, Aparna Reddy
OBJECTIVE: To compare the cardiotocography classification systems outlined by the International Federation of Gynecology and Obstetrics (FIGO) in 2015 and the UK National Institute for Health and Care Excellence (NICE) in 2007 and 2014. METHODS: A cross-sectional observational study of cardiotocography practices at a UK hospital was conducted among labor ward staff (n=21) from November 1 to November 31, 2015. All observers classified ten cardiotocography traces according to the three guidelines using a bespoke form...
March 27, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28342623/mother-newborn-health-indicators-in-possible-victims-of-gender-based-violence-during-pregnancy
#12
Juan Miguel Martínez-Galiano
BACKGROUND: Pregnancy increases the risk of gender-based violence, considered an underdiagnosed public health problem. OBJECTIVE: To determine the association between the situation of possible gender-based violence in the pregnant woman and variables related to pregnancy, labor, puerperium, and newborn health. DESIGN: An observational multicenter study. SETTINGS: Three Spanish hospitals during 2015. PARTICIPANTS: 141 pregnant women in which information is collected sociodemographic variables and data related to pregnancy, labor, and puerperium were gathered by interview and from clinical records...
April 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/28342395/longitudinal-progression-of-fetal-short-term-variation-and-average-acceleration-and-deceleration-capacity-after-antenatal-maternal-betamethasone-application
#13
Joy Weyrich, Anna Setter, Alexander Müller, Georg Schmidt, Christine E Brambs, Javier U Ortiz, Silvia M Lobmaier
OBJECTIVE: To analyze the effect of maternal betamethasone given for fetal lung maturation on fetal short-term variation (STV) and average acceleration and deceleration capacity (AAC/ADC). Both of these factors are calculated by phase-rectified signal averaging (PRSA) and represent new parameters to assess the fetal autonomic nervous system. STUDY DESIGN: A longitudinal prospective study including 26 pregnant women at risk for preterm delivery was performed. Two injections of 12mg betamethasone were administered intramuscularly at a 24h interval for lung maturation...
May 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28341516/computerised-cardiotocography-study-design-hampers-findings
#14
Michael A Belfort, Steven L Clark
No abstract text is available yet for this article.
March 21, 2017: Lancet
https://www.readbyqxmd.com/read/28320032/erratum-computerized-cardiotocography-analysis-comparison-among-several-parental-ethnic-origins
#15
Mariarosaria Di Tommaso, Giulia Martello, Tomi Kanninen, Federica Perelli, Laura Iannuzzi, Giovanni Sisti
No abstract text is available yet for this article.
February 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28293312/platelet-count-in-first-trimester-of-pregnancy-as-a-predictor-of-perinatal-outcome
#16
Santiago Garcia-Tizon Larroca, Juan Arevalo-Serrano, Virginia Ortega Abad, Pilar Pintado Recarte, Alejandro Garcia Carreras, Gonzalo Nozaleda Pastor, Cesar Rodriguez Hernandez, Ricardo Perez Fernandez Pacheco, Juan De Leon Luis
AIM: To rule out maternal and pregnancy factors that may contribute to platelet count (PLT) changes in the first trimester of gestation and examine if there is any association between its levels and adverse perinatal outcome. METHODS: The study population included all patients from the first-trimester visit between 2013-2015 with pregnancy results. Linear multiple regression was constructed to rule out variables that may have a significant contribution to PLT. For each adverse outcome at birth, multiple logistic regression analysis was implemented to estimate the PLT effect...
March 15, 2017: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/28270884/critical-imperative-for-the-reform-of-british-interpretation-of-fetal-heart-rate-decelerations-analysis-of-figo-and-nice-guidelines-post-truth-foundations-cognitive-fallacies-myths-and-occam-s-razor
#17
REVIEW
Shashikant L Sholapurkar
Cardiotocography (CTG) has disappointingly failed to show good predictability for fetal acidemia or neonatal outcomes in several large studies. A complete rethink of CTG interpretation will not be out of place. Fetal heart rate (FHR) decelerations are the most common deviations, benign as well as manifestation of impending fetal hypoxemia/acidemia, much more commonly than FHR baseline or variability. Their specific nomenclature is important (center-stage) because it provides the basic concepts and framework on which the complex "pattern recognition" of CTG interpretation by clinicians depends...
April 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28268931/selective-heart-rate-variability-analysis-to-account-for-uterine-activity-during-labor-and-improve-classification-of-fetal-distress
#18
G J J Warmerdam, R Vullings, J O E H Van Laar, M B Van der Hout-Van der Jagt, J W M Bergmans, L Schmitt, S G Oei
Cardiotocography (CTG) is currently the most often used technique for detection of fetal distress. Unfortunately, CTG has a poor specificity. Recent studies suggest that, in addition to CTG, information on fetal distress can be obtained from analysis of fetal heart rate variability (HRV). However, uterine contractions can strongly influence fetal HRV. The aim of this study is therefore to investigate whether HRV analysis for detection of fetal distress can be improved by distinguishing contractions from rest periods...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28263154/-asymptomatic-spontaneous-rupture-of-the-uterus-without-previous-sectio
#19
Stine Kretzschmar Nielsen, Lars Høj
Rupture of the uterus is rare but catastrophic. Rupture often results in fetal bradycardia, abdominal pain, haemodynamic changes and vaginal bleeding. A 36-year-old healthy woman, gravida 3, para 1, went into spontaneous labour at gestation age 39 + 4, and at orificium 7 cm she received epidural analgesia. Following the epidural, the fetal heartbeat could not be registered by external cardiotocography, and caput could not be palpated. Spontaneous birth was attempted, but a caesarean section was necessary. The baby was found in the abdomen...
February 27, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28247781/midwife-s-decisive-action-saved-my-baby-s-life
#20
(no author information available yet)
When I was 38 weeks pregnant, I went to the labour ward of Harrogate District Hospital to get a cardiotocography (CTG) trace, after becoming concerned by reduced fetal movements.
March 1, 2017: Nursing Standard
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