Butterwegge M, Lampe S, Bandlow G
Frauenklinik der Städtischen Kliniken Osnabrück.
Z Geburtshilfe Neonatol. 1996 Nov-Dec;200(6):221-6.
156 mothers and their newborns (Group A), whose deliveries were monitored using cardiotocography and fetal pulse oximetry, were investigated during and after delivery regarding amnioninfection as well as changes in morbidity und compared to matched controls (Group B). The parameters observed were temperature during labor and delivery and after delivery, infection parameters of mother and baby, bacterial smears of the vagina before placement of the oximetry sensor and smears of the sensor tip when the evaluation was concluded. An amnioninfection syndrome was registered twice in group A and three times in control group B. In 22 cases the evaluation of the smears showed an increase of bacterial growth or additional bacteria, but in no case an amnioninfection syndrome was noted. Three of the newborns in Group A who had an infection after delivery showed negative bacterial smears from the sensor tip. The temperatures of the mothers during and after delivery in Group A were not significantly different from Group B. The results show that the intrauterine application of a sensor even for longer periods of time does not result in an increase of maternal or fetal infection morbidity during labor and delivery and after delivery. In addition, 65 patients were evaluated with an anonymous questionnaire after delivery regarding their acceptance of this new method. 88% of the patients were satisfied with the procedure and stated that they felt an additional sense of security through this supplementary method.
156名母亲及其新生儿（A组），其分娩过程采用胎心监护和胎儿脉搏血氧饱和度监测，在分娩期间及之后对羊膜腔感染以及发病率变化进行调查，并与匹配的对照组（B组）进行比较。观察的参数包括分娩时、分娩后母亲的体温，母婴的感染参数，放置血氧饱和度传感器前阴道的细菌涂片以及评估结束时传感器尖端的涂片。A组记录到2例羊膜腔感染综合征，B组对照组记录到3例。在22例病例中，涂片评估显示细菌生长增加或有额外细菌，但均未发现羊膜腔感染综合征。A组中有3例分娩后感染的新生儿，其传感器尖端的细菌涂片为阴性。A组母亲在分娩期间及之后的体温与B组无显著差异。结果表明，即使长时间在子宫内应用传感器，也不会导致分娩期间及之后母亲或胎儿感染发病率增加。此外，65名患者在分娩后通过匿名问卷对这种新方法的接受程度进行了评估。88%的患者对该程序感到满意，并表示通过这种辅助方法他们感到额外的安全感。
