Antepartum fetal surveillance in high-risk pregnancies using home fetal heart rate monitoring device

To evaluate the quality, reliability. safety and cost effectiveness of home cardio-tocographic monitoring in women with high-risk pregnancies.

Yöntem

The CG-900P (home cardiotocograph) is designed for monitoring fetal heart rate (FHR), uterine activity (TOCO) and for event marking of fetal movement. 25 pregnant women considered to be at high risk due to diabetes, hyperlension, growth retardation, oligo-hydramnion and premature contractions performed daily home cardiotocograph monitoring and transmitted the data for analysis to the Rabin Medical Center Perinatal Service via a built-in modem.

Bulgular

265 traces were performed and successfully transmitted to the Rabin Medical Center. in 33 cases (13%) additional monitoring was required due to: non-reassuring traces (n = 29). technical reasons (n=2), maternal request or premature contractions (n=2). in 26 cases of non reassuring FHR monitoring, 23 repeated traces were reassuring and in 3 cases inter-vention was needed: 2 women were referred to the antenatal clinic and were diseharged after further evaluation (biophysical profile). 1 woman underwent urgent caesarean section due to placental abruption. All patients indicated the simplicity of use and the high level of comfort they felt.

Sonuç

Self-nonstress home testing of pregnant women at high risk seems to be a reliable and accurate method of antepartum fetal heart rate testing which can be performed comfortably in the home setting and may prevent unnecessary hospital visits and by that may possible reduce the expense of in- or outpatient care. A further large-scale study is required to evaluate the cost effectiveness of this management.

Anahtar Kelimeler

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