Giriş
To compare the perinatal outcomes of two different intrapartum fetal heart nite monitorisation technique
Yöntem
During 1.1.1999-31.6.1999, 10323 women (group 1) in labour had 15 minutes cardiolocography recording at the time of admission. If fetal heart rate monitorisation at the time of admission was non-reassuring or the patient is in a high risk group, intrapartum intermittant auscultation was pertormed with a hand held ultrasound doppler device every 15 minutes. Low risk group had intennittant auscultation every 30 minutes. During 1.7.1999-31.12.1999, 11144 women (group 2) had continuous cardiolocography and monitorisation also evaluated through a central recording via network connection.
Bulgular
Cesarean section rate was lower in group 2 when compared with group 1 (21.4% versus 22.5% respectively; p=0.05). Operative delivery rates and neonatal intensive care unit admission was similar in the two groups. intrapartum sudden fetal death occurred in four patients in group 1 and two patients in group 2 (p=0,9). Perinatal hypoxia was diagnosed in 22 fetuses in group 1 and 19 fetuses in group 2 (p=0.8). Mortality due to perinatal hypoxia occurred in seven newborns in group 1 and five newborns in group 2 (p=0.9).
Sonuç
Continuous fetal monitorisation causes an insignificant decrease in the occurrence of perinatal death and hypoxia.
Anahtar Kelimeler
-