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电子胎儿监护仪:每位产妇都需要吗?

The electronic fetal monitor: should every mother have one?

出版信息

Can Fam Physician. 1981 Jun;27:1023-8.

Abstract

In little more than a decade, the use of electronic fetal monitoring has become standard obstetric practice. Increasingly it is being suggested that all labors should be monitored electronically, and that such universal monitoring will result in improved neonatal outcome. This paper reviews the evidence in what has been termed "the fetal monitoring debate",(1) concluding that there is no indication for monitoring low risk labors, and that in fact too many-rather than too few-labors are being monitored.

摘要

在短短十几年间,电子胎儿监护已成为产科常规的临床实践。越来越多的人建议所有分娩都应进行电子监测,而且这种全面监测将改善新生儿的预后。本文回顾了所谓的“胎儿监护之争”中的证据,得出的结论是,低危分娩不需要进行监测,实际上,监测的分娩数量过多,而不是过少。

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引用本文的文献

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A clinical fetal monitor.一台临床胎儿监护仪。
Obstet Gynecol. 1970 Feb;35(2):161-9.
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Intensive care of the high risk fetus in labor.产时高危胎儿的重症监护。
J Obstet Gynaecol Br Commonw. 1971 Oct;78(10):882-93. doi: 10.1111/j.1471-0528.1971.tb00199.x.
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Clinical fetal monitoring. V. Effect on perinatal outcome.临床胎儿监测。五、对围产期结局的影响。
Am J Obstet Gynecol. 1974 Feb 15;118(4):529-33. doi: 10.1016/s0002-9378(16)33695-x.
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Continuous electronic monitoring of fetal heart rate during labor.分娩期间持续电子监测胎儿心率。
Am J Obstet Gynecol. 1973 Apr 1;115(7):919-23. doi: 10.1016/0002-9378(73)90667-4.

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