Hammacher K
Geburtshilfe Frauenheilkd. 1984 Sep;44(9):608-10. doi: 10.1055/s-2008-1036315.
"The Ranking and Value of Intrapartum Cardiotocography--A Contribution to the Efficiency of the Method", and "Overrating of Cardiotocography and Negative Clinical Effects", two round-table discussions on specialist congresses during 1982/1983, prompted a controversial discussion on the subject: Intensive Care during Pregnancy and Delivery via FBA (foetal blood analysis) and/or CTG (cardiotocography)? In two recently published papers originating from the working team of Professor Saling, Hammacher's score was used as measure for assessing the value of cardiotocography. Hence, the author has been both prompted and challenged to this editorial not only as the inaugurator, but also as "interpretative acrobat" of cardiotocography. In his opinion, the overrated use of FBA represents an additional risk to the foetus due to possible compressions of the umbilical cord--placenta circulation because of the artificial rupture of the membranes which is often necessary when performing FBA. He pleads for preserving the "padding" provided by the amniotic fluid, by employing external cardiotocography--monitoring via the reliable beat-to-beat autocorrelation technique--while retaining the amniotic sack.
1982年至1983年间在专业大会上进行的两场圆桌讨论——“产时胎心监护的分级与价值——对该方法效率的贡献”以及“胎心监护的高估及负面临床影响”，引发了关于以下主题的争议性讨论：通过胎儿血液分析（FBA）和/或胎心监护（CTG）进行孕期及分娩期间的重症监护？在萨林教授工作团队近期发表的两篇论文中，哈马赫评分被用作评估胎心监护价值的指标。因此，作为胎心监护的开创者以及“解读能手”，作者不仅受到鼓舞，同时也面临挑战，从而撰写了这篇社论。在他看来，由于在进行胎儿血液分析时通常需要人工破膜，这可能会压迫脐带 - 胎盘循环，因此高估胎儿血液分析的使用对胎儿构成了额外风险。他主张通过采用外部胎心监护——利用可靠的逐搏自相关技术进行监测——同时保留羊膜囊，来保留羊水提供的“缓冲”作用。
