Ott W J
Obstet Gynecol Surv. 1976 May;31(5):339-64. doi: 10.1097/00006254-197605000-00001.
Intensive intrapartum fetal monitoring, using direct fetal EKG leads and intrauterine pressure sensing transducers, seems to add another level of care for the fetus. As with other laboratory aids or devices, fetal monitoring data should not be exclusively relied on in decision making processes. When used with other modern monitor aids, such as scalp pH, it can aid immensely in the management of both normal and complicated labors. When fetal heart rate patterns remain normal throughout labor there can be a high degree of confidence that the fetal outcome will be good. If abnormal patterns occur, however, great care should be taken in interpreting these data, and it should be combined with the overall status of the mother and the fetus, and used together with the clinical acumen of the physician in determining a method of approach to the management of intrapartum situations. Continuous monitoring techniques can and should be applied in the neonatal nursery for intensive neonatal management and care (79,80). As experience is gained in clinical fetal monitoring and as new techniques and methods become available, intensuve intrapartum fetal monitoring will become an increasingly important and significant technique for management of labor (4, 139).
使用直接胎儿心电图导联和宫内压力传感换能器进行的产时强化胎儿监测，似乎为胎儿护理增加了一个层面。与其他实验室辅助工具或设备一样，胎儿监测数据在决策过程中不应被完全依赖。当与其他现代监测辅助手段（如头皮pH值）一起使用时，它可以极大地帮助处理正常和复杂的分娩。当整个分娩过程中胎儿心率模式保持正常时，可以高度确信胎儿结局良好。然而，如果出现异常模式，在解读这些数据时应格外小心，并且应将其与母亲和胎儿的整体状况相结合，并与医生的临床敏锐度一起用于确定处理产时情况的方法。连续监测技术能够且应该应用于新生儿重症监护室，以进行强化的新生儿管理和护理（79,80）。随着临床胎儿监测经验的积累以及新技术和方法的出现，产时强化胎儿监测将成为管理分娩的一项越来越重要的技术（4, 139）。
