Pluta M, Dudenhausen J W, Gesche J, Saling E
Z Geburtshilfe Perinatol. 1982 Nov-Dec;186(6):303-7.
At the Department of Obstetrics Berlin-Neukölln over a period of 4 years the fetal heart-rate was monitored on the operating table during 178 cesarean sections, which were indicated for arrest of labour in the pelvic inlet. After the induction of the anesthesia a clear influence on the oscillation pattern with lower oscillation frequency and amplitude - probably due to drugs - was seen in the cardiogram. The occurrence of pathological heart-rate patterns, such as decelerations and bradycardia were closely related to the depressed state and acidosis of the newborn. The cardiogram shows the danger of worsening in the infant's condition during anesthesia, and in these cases it permits a reduction in the induction-delivery-interval by changing the speed of the operation. Further, a retrospective interpretation of an unexpected clinical depression and acidosis in the newborn is possible, particularly in cases in which originally the fetus has not been at risk. For the above mentioned reasons it is recommended to carry out routine continuous registration of the fetal heart-rate on the operating table during cesarean sections.
在柏林-新克尔恩产科，在4年的时间里，对178例因骨盆入口处产程停滞而行剖宫产手术的产妇在手术台上进行了胎儿心率监测。麻醉诱导后，心电图显示振荡模式受到明显影响，振荡频率和振幅降低——可能是由于药物所致。病理性心率模式的出现，如减速和心动过缓，与新生儿的抑制状态和酸中毒密切相关。心电图显示了麻醉期间婴儿状况恶化的危险，在这些情况下，它可以通过改变手术速度来缩短诱导-分娩间隔。此外，对新生儿意外出现的临床抑制和酸中毒进行回顾性解读是可能的，特别是在最初胎儿没有风险的情况下。基于上述原因，建议在剖宫产手术期间在手术台上常规连续记录胎儿心率。
