Department of Obstetrics and Gynecology, Washington University in St Louis, 4911 Barnes Jewish Hospital, St Louis, MO 63110, USA.
Clin Perinatol. 2011 Mar;38(1):127-42, vii. doi: 10.1016/j.clp.2010.12.002.
Electronic fetal monitoring (EFM) using cardiotocography is a common tool used during labor and delivery for assessment of fetal well-being. It has largely replaced the use of intermittent auscultation and fetal scalp pH sampling. However, data suggesting improved clinical outcomes with the use of EFM are sparse. In this review, the history of EFM is revisited from its inception in the 1960s to current practice, interpretations, and future research goals.
电子胎心监护(EFM)结合胎心宫缩图是分娩过程中评估胎儿健康状况的常用工具,它在很大程度上已经取代了间断听诊和胎儿头皮 pH 值采样。然而,目前关于使用 EFM 可改善临床结局的数据仍较为匮乏。本综述回顾了 EFM 从 20 世纪 60 年代问世至今的发展历程,包括其当前的临床应用、解读方法和未来的研究目标。