Eszto M-L, Morel O, Deval B, Thiébaugeorges O
Service de Gynécologie-Obstétrique, Maternité Régionale de Nancy, Nancy, France.
Gynecol Obstet Fertil. 2007 Jun;35(6):576-81. doi: 10.1016/j.gyobfe.2007.04.021. Epub 2007 Jun 1.
Labor is monitored to avoid per partum asphyxia and its consequences. Cardiotocography enables asphyxia detection but carries unuseful cesarean sections. When cardiotocography is not reassuring, fetal pulse oxymetry makes it possible to reduce cesarean section rate for non-reassuring fetal status. Nevertheless, there is an increased number of cesarean sections for dystocia that could be due to the presence of the oxygen sensor itself. A global reduction is mainly observed when oxymetry is associated with fetal blood sampling for pH measurement. In this case, oxymetry also makes it possible to reduce the number of necessary samplings.
对分娩过程进行监测以避免产时窒息及其后果。胎心监护能够检测窒息情况,但会导致不必要的剖宫产。当胎心监护结果不令人放心时,胎儿脉搏血氧饱和度测定有助于降低因胎儿状况不令人放心而进行剖宫产的比率。然而,因难产进行剖宫产的数量有所增加,这可能是由于氧气传感器本身的存在。当血氧饱和度测定与用于测量pH值的胎儿血样采集相结合时,总体剖宫产率主要会降低。在这种情况下,血氧饱和度测定还可以减少必要的血样采集数量。