Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Best Pract Res Clin Obstet Gynaecol. 2020 Aug;67:44-52. doi: 10.1016/j.bpobgyn.2020.02.004. Epub 2020 Mar 19.
Continuous electronic fetal monitoring (EFM) was first introduced commercially over 50 years ago with the hope of improving perinatal outcomes during labor. However, despite the increased use of EFM, definitive improvements in perinatal outcomes have not been demonstrated. Variance in tracing interpretation and intervention has led to increased rates of cesarean and operative vaginal deliveries and perhaps increased maternal and neonatal morbidity. Since its inception, several strategies have been developed in hopes of optimizing EFM and improving these outcomes. We discuss the current standards of intrapartum fetal monitoring and review optimization strategies and technologies in development to improve intrapartum fetal monitoring.
连续电子胎儿监护（EFM）最初于 50 多年前商业化问世，其目的是改善分娩期间的围产儿结局。然而，尽管 EFM 的使用有所增加，但并未证明围产儿结局有明确改善。由于胎心监护图解读和干预的差异，导致剖宫产和阴道助产分娩的比例增加，可能增加了产妇和新生儿的发病率。自 EFM 诞生以来，人们已经开发了多种策略，希望优化 EFM，并改善这些结局。我们讨论了目前产时胎儿监护的标准，并回顾了正在开发中的优化策略和技术，以改善产时胎儿监护。
