Goeschen K
Frauenklinik Medizinischen Hochschule, Hannover.
Z Geburtshilfe Perinatol. 1992 May-Jun;196(3):103-5.
The purpose of this study was to prove, whether intrapartum fetal monitoring by cardiotocography and fetal blood analysis brings advantages for mother and child. The data of 10,234 patients, delivered in 5 different hospitals in 1988 and 1989, were analyzed by a computer. The results show that nonpermanent in comparison to permanent monitoring lead to a significant increase in cesarean section rate, neonatal morbidity and perinatal mortality. Furthermore we found a negative correlation between cesarean section rate and frequency of fetal blood analysis (r = -0.54). The use of fetal blood analysis in cases with pathological fetal heart patterns lead to a significant reduction in cesarean section rate, neonatal morbidity and perinatal mortality. In summary the study shows that a combined intrapartum monitoring improve the results.
本研究的目的是证明，通过胎心监护和胎儿血液分析进行产时胎儿监测是否能给母婴带来益处。对1988年和1989年在5家不同医院分娩的10234例患者的数据进行了计算机分析。结果表明，与持续监测相比，非持续监测导致剖宫产率、新生儿发病率和围产儿死亡率显著增加。此外，我们发现剖宫产率与胎儿血液分析频率之间呈负相关（r = -0.54）。在胎儿心脏图形异常的病例中使用胎儿血液分析可显著降低剖宫产率、新生儿发病率和围产儿死亡率。总之，该研究表明联合产时监测可改善结果。
