Thadepalli H, Appleman M D, Chan W H, Maidman J C, Davidson E C
J Reprod Med. 1978 Feb;20(2):93-6.
The risk of infections associated with intrauterine fetal monitoring was evaluated in 30 consecutive labors. Amniotic fluid samples collected through the intrauterine catheter were found to be contaminated with bacteria in 15 of 30 consecutively monitored patients during labor. Aerobes were the exclusive isolates in eight, anaerobes in five and both in two patients. Eleven patients developed puerperal fever. One patient developed gonococcal amnionitis, and her newborn infant later developed gonococcal septicemia. The equipment--catheters and fetal scalp electrodes--was sterile. The overall risk of infection associated with internal monitoring in our study was 50% for amniotic fluid contamination and 37% for puerperal febrile morbidity.
对连续30例分娩进行了与宫内胎儿监护相关的感染风险评估。在分娩期间连续监测的30例患者中，有15例通过宫内导管采集的羊水样本被细菌污染。8例患者仅分离出需氧菌，5例仅分离出厌氧菌，2例患者两者均有分离出。11例患者发生产褥热。1例患者发生淋菌性羊膜炎，其新生儿随后发生淋菌性败血症。设备——导管和胎儿头皮电极——是无菌的。在我们的研究中，与宫内监护相关的总体感染风险为羊水污染50%，产褥期发热发病率37%。
