Abstract
Intrapartum assessment of fetal well-being has evolved over the last 40 years, with the primary focus being fetal heart rate assessments. Despite widespread use and initial enthusiasm for the potential for heart rate monitoring to reduce fetal and neonatal mortality and morbidity, conclusive evidence of improvement in long-term outcomes is lacking. Its use is associated with an increase in operative obstetric interventions and may increase morbidity associated with such interventions. Current investigation includes fetal pulse oximetry and further analysis of specific fetal electrocardiographic changes associated with hypoxic stress. Currently, it is likely that fetal heart rate monitoring will maintain its role as a common intervention in obstetric units.
| Original language | English |
|---|---|
| Pages (from-to) | 245-254 |
| Number of pages | 10 |
| Journal | Obstetrics and Gynecology Clinics of North America |
| Volume | 32 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jun 2005 |
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All Science Journal Classification (ASJC) codes
- Obstetrics and Gynecology
Cite this
Assessment of the fetus : Intermittent auscultation, electronic fetal heart rate tracing, and fetal pulse oximetry. / Smith, Jr., James; Onstad, J. Honey.
In: Obstetrics and Gynecology Clinics of North America, Vol. 32, No. 2, 06.2005, p. 245-254.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Assessment of the fetus
T2 - Intermittent auscultation, electronic fetal heart rate tracing, and fetal pulse oximetry
AU - Smith, Jr., James
AU - Onstad, J. Honey
PY - 2005/6
Y1 - 2005/6
N2 - Intrapartum assessment of fetal well-being has evolved over the last 40 years, with the primary focus being fetal heart rate assessments. Despite widespread use and initial enthusiasm for the potential for heart rate monitoring to reduce fetal and neonatal mortality and morbidity, conclusive evidence of improvement in long-term outcomes is lacking. Its use is associated with an increase in operative obstetric interventions and may increase morbidity associated with such interventions. Current investigation includes fetal pulse oximetry and further analysis of specific fetal electrocardiographic changes associated with hypoxic stress. Currently, it is likely that fetal heart rate monitoring will maintain its role as a common intervention in obstetric units.
AB - Intrapartum assessment of fetal well-being has evolved over the last 40 years, with the primary focus being fetal heart rate assessments. Despite widespread use and initial enthusiasm for the potential for heart rate monitoring to reduce fetal and neonatal mortality and morbidity, conclusive evidence of improvement in long-term outcomes is lacking. Its use is associated with an increase in operative obstetric interventions and may increase morbidity associated with such interventions. Current investigation includes fetal pulse oximetry and further analysis of specific fetal electrocardiographic changes associated with hypoxic stress. Currently, it is likely that fetal heart rate monitoring will maintain its role as a common intervention in obstetric units.
UR - http://www.scopus.com/inward/record.url?scp=19344364343&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=19344364343&partnerID=8YFLogxK
U2 - 10.1016/j.ogc.2004.12.003
DO - 10.1016/j.ogc.2004.12.003
M3 - Review article
C2 - 15899358
AN - SCOPUS:19344364343
VL - 32
SP - 245
EP - 254
JO - Obstetrics and Gynecology Clinics of North America
JF - Obstetrics and Gynecology Clinics of North America
SN - 0889-8545
IS - 2
ER -