A controlled trial of the differential effects of intrapartum fetal monitoring
A controlled prospective study of the differential effects of intrapartum fetal monitoring on mothers and infants has been conducted at Denver General Hospital, Denver, Colorado. A total of 690 high-risk obstetric patients in labor were randomly assigned to one of three monitoring groups—auscultatio...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 1979-06, Vol.134 (4), p.399-412 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 134 |
| creator | Haverkamp, Albert D. Orleans, Miriam Langendoerfer, Sharon McFee, John Murphy, James Thompson, Horace E. |
| description | A controlled prospective study of the differential effects of intrapartum fetal monitoring on mothers and infants has been conducted at Denver General Hospital, Denver, Colorado. A total of 690 high-risk obstetric patients in labor were randomly assigned to one of three monitoring groups—auscultation, electronic fetal monitoring alone, or electronic monitoring with the option to scalp sample. There were no differences in immediate infant outcomes in any measured category (Apgar scores, cord blood gases, neonatal death, neonatal morbidity, nursery course) among the three groups. There were no differences in rates of infant or maternal infections. The cesarean section rate was markedly increased in the electronically monitored groups, especially in the electronically monitored alone (18%) as compared with the auscultated (6%) (P < 0.005). In this controlled trial electronic monitoring did not improve neonatal outcomes and the mothers were at increased risk of cesarean section. |
| doi_str_mv | 10.1016/S0002-9378(16)33082-4 |
| format | Article |
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A total of 690 high-risk obstetric patients in labor were randomly assigned to one of three monitoring groups—auscultation, electronic fetal monitoring alone, or electronic monitoring with the option to scalp sample. There were no differences in immediate infant outcomes in any measured category (Apgar scores, cord blood gases, neonatal death, neonatal morbidity, nursery course) among the three groups. There were no differences in rates of infant or maternal infections. The cesarean section rate was markedly increased in the electronically monitored groups, especially in the electronically monitored alone (18%) as compared with the auscultated (6%) (P < 0.005). 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A total of 690 high-risk obstetric patients in labor were randomly assigned to one of three monitoring groups—auscultation, electronic fetal monitoring alone, or electronic monitoring with the option to scalp sample. There were no differences in immediate infant outcomes in any measured category (Apgar scores, cord blood gases, neonatal death, neonatal morbidity, nursery course) among the three groups. There were no differences in rates of infant or maternal infections. The cesarean section rate was markedly increased in the electronically monitored groups, especially in the electronically monitored alone (18%) as compared with the auscultated (6%) (P < 0.005). In this controlled trial electronic monitoring did not improve neonatal outcomes and the mothers were at increased risk of cesarean section.</description><subject>Apgar Score</subject><subject>Blood Gas Analysis</subject><subject>Cesarean Section</subject><subject>Electronics, Medical</subject><subject>Female</subject><subject>Fetal Blood - analysis</subject><subject>Fetal Heart</subject><subject>Fetal Monitoring - instrumentation</subject><subject>Fetal Monitoring - methods</subject><subject>Heart Auscultation</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Risk</subject><subject>Socioeconomic Factors</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1979</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1PxCAQhonxa139B5r0ZPRQpdBCOZnNxq9kowf1TFo6KKYtK1AT_710u_HqaWZ433cmPAidZfgqwxm7fsEYk1RQXl5k7JJSXJI030GzDAuespKVu2j2ZzlER95_jiMR5ADt5wUlnM3Q0yJRtg_Oti00SXCmahOrk_ABSWO0Bgd9GN8g9ir4UTPRXq0rF4Yu0RCi2NneBOtM_36M9nTVejjZ1jl6u7t9XT6kq-f7x-VilaqcFCEFXdegec7rWleaCk6bUlFOBVQ1ZiB4RrVmudKCKZILzXkhSqUZjSmiG0rn6Hzau3b2awAfZGe8graterCDlzwvCkrLLBqLyaic9d6Blmtnusr9yAzLEaPcYJQjIxmnDUaZx9zp9sBQd9D8pSZuUb6ZZIif_DbgpFcGegWNcZGTbKz558AvSSWDeg</recordid><startdate>19790615</startdate><enddate>19790615</enddate><creator>Haverkamp, Albert D.</creator><creator>Orleans, Miriam</creator><creator>Langendoerfer, Sharon</creator><creator>McFee, John</creator><creator>Murphy, James</creator><creator>Thompson, Horace E.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19790615</creationdate><title>A controlled trial of the differential effects of intrapartum fetal monitoring</title><author>Haverkamp, Albert D. ; Orleans, Miriam ; Langendoerfer, Sharon ; McFee, John ; Murphy, James ; Thompson, Horace E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-efbbef747bbfaf3973d8c3739eab06e9713ff64cf96c249f77598cf63bef2fd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1979</creationdate><topic>Apgar Score</topic><topic>Blood Gas Analysis</topic><topic>Cesarean Section</topic><topic>Electronics, Medical</topic><topic>Female</topic><topic>Fetal Blood - analysis</topic><topic>Fetal Heart</topic><topic>Fetal Monitoring - instrumentation</topic><topic>Fetal Monitoring - methods</topic><topic>Heart Auscultation</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Risk</topic><topic>Socioeconomic Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haverkamp, Albert D.</creatorcontrib><creatorcontrib>Orleans, Miriam</creatorcontrib><creatorcontrib>Langendoerfer, Sharon</creatorcontrib><creatorcontrib>McFee, John</creatorcontrib><creatorcontrib>Murphy, James</creatorcontrib><creatorcontrib>Thompson, Horace E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haverkamp, Albert D.</au><au>Orleans, Miriam</au><au>Langendoerfer, Sharon</au><au>McFee, John</au><au>Murphy, James</au><au>Thompson, Horace E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A controlled trial of the differential effects of intrapartum fetal monitoring</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1979-06-15</date><risdate>1979</risdate><volume>134</volume><issue>4</issue><spage>399</spage><epage>412</epage><pages>399-412</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>A controlled prospective study of the differential effects of intrapartum fetal monitoring on mothers and infants has been conducted at Denver General Hospital, Denver, Colorado. A total of 690 high-risk obstetric patients in labor were randomly assigned to one of three monitoring groups—auscultation, electronic fetal monitoring alone, or electronic monitoring with the option to scalp sample. There were no differences in immediate infant outcomes in any measured category (Apgar scores, cord blood gases, neonatal death, neonatal morbidity, nursery course) among the three groups. There were no differences in rates of infant or maternal infections. The cesarean section rate was markedly increased in the electronically monitored groups, especially in the electronically monitored alone (18%) as compared with the auscultated (6%) (P < 0.005). In this controlled trial electronic monitoring did not improve neonatal outcomes and the mothers were at increased risk of cesarean section.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>453276</pmid><doi>10.1016/S0002-9378(16)33082-4</doi><tpages>14</tpages></addata></record> |
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| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 1979-06, Vol.134 (4), p.399-412 |
| issn | 0002-9378 1097-6868 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_74553381 |
| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Apgar Score Blood Gas Analysis Cesarean Section Electronics, Medical Female Fetal Blood - analysis Fetal Heart Fetal Monitoring - instrumentation Fetal Monitoring - methods Heart Auscultation Humans Infant, Newborn Pregnancy Prospective Studies Risk Socioeconomic Factors |
| title | A controlled trial of the differential effects of intrapartum fetal monitoring |
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