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电子胎儿监护在小医院中的应用。第二部分:产时应用。

Electronic fetal monitoring in a small hospital. Part 2: intrapartum use.

出版信息

Can Fam Physician. 1984 Oct;30:2061-4.

Abstract

A case series analysis assessed the intrapartum use of an electronic fetal heart rate monitor at a 40-bed hospital in Newfoundland. Seventy-five patients at risk and 52 patients at no predictable risk were monitored during labor. Fetal distress was the sole reason for cesarean section or instrumental delivery in nine of the group at risk and six of the group at no predictable risk. Of these 15 babies, all had five minute Apgar scores greater than six. Intrapartum monitoring is indicated for patients at risk, either because they develop a problem at a time when transfer to a regional centre is precluded, or because they have been judged safe to deliver at the small hospital.

摘要

一项病例系列分析评估了在纽芬兰的一家拥有 40 张床位的医院中,在产程中使用电子胎心监护仪的情况。对 75 名高危患者和 52 名无明显预测风险的患者进行了监测。在高危组中,有 9 例和低危组中 6 例因胎儿窘迫而行剖宫产或器械助产。在这 15 例婴儿中,所有的新生儿 Apgar 评分均大于 6 分。产程中监测适用于高危患者,因为他们可能在需要转至区域中心时出现问题,或者因为他们被认为在小型医院分娩是安全的。

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本文引用的文献

1
The prediction of intrapartum fetal metabolic acidosis by fetal heart rate monitoring.
Am J Obstet Gynecol. 1981 Feb 1;139(3):299-305. doi: 10.1016/0002-9378(81)90014-4.
6
Controlled randomized trial of fetal heart rate monitoring.胎儿心率监测的对照随机试验。
Am J Obstet Gynecol. 1983 Jan 1;145(1):116-7. doi: 10.1016/0002-9378(83)90357-5.
7
Prenatal and intrapartum high-risk screening. I. Prediction of the high-rish neonate.
Am J Obstet Gynecol. 1973 Sep 1;117(1):1-9. doi: 10.1016/0002-9378(73)90720-5.
8
Clinical application of high-risk scoring on an obstetric service.
Am J Obstet Gynecol. 1977 Jul 15;128(6):652-61. doi: 10.1016/0002-9378(77)90212-5.

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