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低风险产科人群胎儿心率监测的对照试验。

A controlled trial of fetal heart rate monitoring in a low-risk obstetric population.

作者信息

Wood C, Renou P, Oats J, Farrell E, Beischer N, Anderson I

出版信息

Am J Obstet Gynecol. 1981 Nov 1;141(5):527-34. doi: 10.1016/s0002-9378(15)33273-7.

DOI:10.1016/s0002-9378(15)33273-7
PMID:7294080
Abstract

A controlled trial of fetal heart rate (FHR) monitoring in a low-risk obstetric population was carried out in 989 patients at the Mercy Maternity Hospital and Queen Victoria Medical Centre. The use of monitoring failed to demonstrate any improvement in perinatal outcome. Monitoring was associated with an increased intervention rate and a small increase in the number of babies who remained in the isolette beyond 3 days. This study does not support the view that FHR monitoring should be used in all labors. Further study in a larger sample is recommended.

摘要

在慈悲妇产医院和维多利亚女王医疗中心,对989名低风险产科人群进行了胎儿心率(FHR)监测的对照试验。监测的使用未能显示围产期结局有任何改善。监测与干预率增加以及在保温箱中停留超过3天的婴儿数量略有增加有关。本研究不支持在所有分娩中使用FHR监测的观点。建议在更大样本中进行进一步研究。

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A controlled trial of fetal heart rate monitoring in a low-risk obstetric population.低风险产科人群胎儿心率监测的对照试验。
Am J Obstet Gynecol. 1981 Nov 1;141(5):527-34. doi: 10.1016/s0002-9378(15)33273-7.
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An assessment of continuous fetal heart rate monitoring in labor. A randomized trial.产时连续胎儿心率监测的评估。一项随机试验。
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CMAJ. 2021 Apr 6;193(14):E468-E477. doi: 10.1503/cmaj.202538.
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Intermittent auscultation (IA) of fetal heart rate in labour for fetal well-being.分娩时对胎儿心率进行间歇性听诊以评估胎儿健康状况。
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Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour.
连续胎心监护(CTG)作为一种电子胎儿监护(EFM)形式,用于分娩期间的胎儿评估。
Cochrane Database Syst Rev. 2017 Feb 3;2(2):CD006066. doi: 10.1002/14651858.CD006066.pub3.
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S1-Guideline on the Use of CTG During Pregnancy and Labor: Long version - AWMF Registry No. 015/036.孕期及分娩期胎心监护使用指南:长篇版 - AWMF注册号015/036
Geburtshilfe Frauenheilkd. 2014 Aug;74(8):721-732. doi: 10.1055/s-0034-1382874.
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A study of an intelligent system to support decision making in the management of labour using the cardiotocograph - the INFANT study protocol.一项关于使用胎心监护仪支持分娩管理决策的智能系统的研究——INFANT研究方案。
BMC Pregnancy Childbirth. 2016 Jan 20;16:10. doi: 10.1186/s12884-015-0780-0.
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Fetal heart rate pattern notification guidelines and suggested management algorithm for intrapartum electronic fetal heart rate monitoring.产时电子胎儿心率监测的胎儿心率模式通知指南及建议处理算法
Perm J. 2007 Fall;11(4):22-8. doi: 10.7812/TPP/07-024.
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Can Fam Physician. 1984 Oct;30:2061-4.
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Inappropriate diabetes screening.不适当的糖尿病筛查。
Can Fam Physician. 1989 Jun;35:1235.
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Electronic fetal monitoring: a Canadian survey.电子胎儿监护:一项加拿大的调查。
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