ST waveform analysis versus cardiotocography alone for intrapartum fetal monitoring: A meta-analysis of randomized trials

Sushma Potti, Vincenzo Berghella

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objective To estimate the effectiveness of intrapartum ST waveform analysis (STAN) versus cardiotocography (CTG) alone in prevention of metabolic acidosis. Study Design Meta-analysis of randomized trials comparing intrapartum fetal monitoring utilizing STAN with CTG versus CTG alone. Primary outcome was neonatal metabolic acidosis, defined as umbilical arterial pH 12 mmol/L. Results Five randomized trials including 15,303 singletons, vertex, term, or near-term pregnancies met inclusion criteria and were analyzed. Compared with CTG alone, STAN with CTG was associated with similar incidences of metabolic acidosis (0.81% versus 1.12%, relative risk [RR] 0.80; 95% confidence interval [CI] 0.44 to 1.47), perinatal death, neonatal encephalopathy, Apgar score

Original languageEnglish (US)
Pages (from-to)657-664
Number of pages8
JournalAmerican Journal of Perinatology
Volume29
Issue number8
DOIs
StatePublished - 2012
Externally publishedYes

Fingerprint

Cardiotocography
Fetal Monitoring
Meta-Analysis
Acidosis
Umbilicus
Apgar Score
Brain Diseases
Confidence Intervals
Pregnancy
Incidence

Keywords

  • fetal heart rate
  • intrapartum
  • metabolic acidosis
  • monitoring
  • perinatal outcomes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

ST waveform analysis versus cardiotocography alone for intrapartum fetal monitoring : A meta-analysis of randomized trials. / Potti, Sushma; Berghella, Vincenzo.

In: American Journal of Perinatology, Vol. 29, No. 8, 2012, p. 657-664.

Research output: Contribution to journalArticle

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