Saling E
Geburtshilfe Frauenheilkd. 1985 Mar;45(3):190-3. doi: 10.1055/s-2008-1036232.
It is the aim of obstetric medicine to achieve optimum safety for both mother and child with a minimum of surgery. In normal clinical routine, this demand cannot be fully met by the sole use of cardiotocography for monitoring the foetus sub partu. Obviously the weak point of cardiotocographical diagnosis is that often there is no imminent or beginning hypoxia or acidosis of the foetus associated with suspicious or pathological heartbeat patterns. This results in a large number of unnecessary deliveries by Caesarian section, or complicated vaginal surgery. We must draw the conclusion from this that cardiotocography is merely a-selective method. It is imperative to apply additionally a biochemical method for properly diagnosing foetal hypoxia or acidosis. The author also comments on accusations made by K. Hammacher in a preceding publication.
产科学的目标是通过最少的手术实现母婴的最佳安全。在正常临床常规中，仅使用胎心监护来监测分娩期胎儿无法完全满足这一需求。显然，胎心监护诊断的弱点在于，与可疑或病理性心跳模式相关的胎儿即将发生或开始出现的缺氧或酸中毒情况常常并不存在。这导致大量不必要的剖宫产或复杂的阴道手术。我们必须从中得出结论，胎心监护仅仅是一种选择性方法。必须额外应用一种生化方法来正确诊断胎儿缺氧或酸中毒。作者还对K. 哈马赫在前一篇出版物中提出的指责发表了评论。
