Langendoerfer S, Haverkamp A D, Murphy J, Nowick K D, Orleans M, Pacosa F, van Doorninck W
J Pediatr. 1980 Jul;97(1):103-7. doi: 10.1016/s0022-3476(80)80145-4.
A controlled prospective study was conducted to evaluate possible effects of the use of three intrapartum fetal monitoring techniques on the offspring of high-risk mothers in labor after at least 34 weeks' gestation. Six hundred and ninety women were randomly assigned to one of the three monitoring groups: auscultation alone, electronic monitoring alone, and electronic monitoring with option to obtain fetal scalp pH. There were no significant differences among the three groups of offspring with respect to neonatal mortality or morbidity, Apgar scores, cord blood gas values, or Brazelton examinations at ages 2 to 3 days. Assessment of the infants at 9 months revealed no significant differences in their growth and development as assessed by physical examination. Bayley Scales of Infant Development, and Milani-Comparetti tests. The frequency of delivery by cesarean section was significantly higher in the electronically monitored group than in the auscultated group. This study failed to show beneficial effects of electronic fetal monitoring over auscultated monitoring for high-risk but relatively mature fetuses.
进行了一项对照前瞻性研究，以评估三种产时胎儿监测技术对妊娠至少34周后分娩的高危母亲后代的可能影响。690名妇女被随机分配到三个监测组之一：仅听诊、仅电子监测以及可选择获取胎儿头皮pH值的电子监测。三组后代在新生儿死亡率或发病率、阿氏评分、脐血气值或出生2至3天时的布雷泽尔顿检查方面没有显著差异。对婴儿在9个月时的评估显示，通过体格检查、贝利婴儿发育量表和米拉尼 - 孔帕雷蒂测试评估，他们的生长和发育没有显著差异。电子监测组剖宫产的频率显著高于听诊组。这项研究未能表明对于高危但相对成熟的胎儿，电子胎儿监测比听诊监测有有益效果。
