Smith James F, Onstad J Honey
High Risk Obstetrics and Maternal Fetal Medicine, Center for Perinatal Medicine, Exempla Saint Joseph Hospital, 2005 Franklin Street, Midtown 2, Suite 610, Denver, CO 80218, USA.
Obstet Gynecol Clin North Am. 2005 Jun;32(2):245-54. doi: 10.1016/j.ogc.2004.12.003.
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.
在过去40年里，产时胎儿健康评估不断发展，主要重点是胎儿心率评估。尽管心率监测有可能降低胎儿和新生儿死亡率及发病率，因而得到广泛应用并在一开始受到热捧，但仍缺乏长期预后得到改善的确凿证据。其使用与产科手术干预的增加有关，且可能增加此类干预相关的发病率。目前的研究包括胎儿脉搏血氧饱和度测定以及对与缺氧应激相关的特定胎儿心电图变化的进一步分析。目前，胎儿心率监测很可能会继续在产科病房作为一种常见干预手段发挥作用。
