Department of Women's and Children's Health, University of Liverpool, Liverpool Women's Hospital, Liverpool, United Kingdom.
PLoS One. 2011;6(11):e28129. doi: 10.1371/journal.pone.0028129. Epub 2011 Nov 28.
To evaluate the feasibility of continuous telemetric trans-abdominal fetal electrocardiogram (a-fECG) in women undergoing labour induction at home.
Low risk women with singleton term pregnancy undergoing labour induction with retrievable, slow-release dinoprostone pessaries (n = 70) were allowed home for up to 24 hours, while a-fECG and uterine activity were monitored in hospital via wireless technology. Semi-structured diaries were analysed using a combined descriptive and interpretive approach.
62/70 women (89%) had successful home monitoring; 8 women (11%) were recalled because of signal loss. Home monitoring lasted between 2-22 hours (median 10 hours). Good quality signal was achieved most of the time (86%, SD 10%). 3 women were recalled back to hospital for suspicious a-fECG. In 2 cases suspicious a-fECG persisted, requiring Caesarean section after recall to hospital. 48/51 women who returned the diary coped well (94%); 46/51 were satisfied with home monitoring (90%).
Continuous telemetric trans-abdominal fetal ECG monitoring of ambulatory women undergoing labour induction is feasible and acceptable to women.
评估在家中进行分娩引产的女性进行连续遥测经腹胎儿心电图（a-fECG）监测的可行性。
对接受可回收、缓慢释放的地诺前列酮栓引产的低风险单胎足月妊娠女性（n=70）允许其在家中待 24 小时，同时通过无线技术在医院监测 a-fECG 和子宫活动。使用描述性和解释性相结合的方法对半结构日记进行分析。
62/70 名女性（89%）成功进行了家庭监测；8 名女性（11%）因信号丢失而被召回。家庭监测时间为 2-22 小时（中位数 10 小时）。大多数时间都能获得良好质量的信号（86%，SD 10%）。3 名女性因可疑的 a-fECG 被召回医院。在 2 例可疑 a-fECG 持续存在的情况下，召回后需要行剖宫产。返回日记的 48/51 名女性（94%）适应良好；46/51 名女性（90%）对家庭监测满意。
对在家中进行分娩引产的活动女性进行连续遥测经腹胎儿心电图监测是可行的，且女性可接受。
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