Samenvatting
Importance: The introduction of the cardiotocogram (CTG) during labor has not been found to improve neonatal outcome. The search for a more reliable, less invasive, and patient-friendly technique is ongoing. The noninvasive fetal electrocardiogram (NI-fECG) has been proposed as one such alternative.
Objectives: The aim of this study was to review the literature on the performance of NI-fECG for fetal monitoring during labor. Following the PRISMA guidelines, a systematic search in MEDLINE, EMBASE, and Cochrane Library was performed. Studies involving original research investigating the performance of NI-fECG during labor were included. Animal studies and articles in languages other than English, Dutch, or German were excluded. The QUADAS-2 checklist was used for quality assessment. A descriptive analysis of the results is provided.
Results: Eight articles were included. Pooled analysis of the results of the separate studies was not possible due to heterogeneity. All studies demonstrate that it is possible to apply NI-fECG during labor. Compared with Doppler ultrasound, NI-fECG performs equal or better in most studies.
Conclusions and Relevance: NI-fECG for fetal monitoring is a promising noninvasive and patient-friendly technique that provides accurate information. Future studies should focus on signal quality throughout labor, with the aim to further optimize technical development of NI-fECG.
Originele taal-2 | Engels |
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Pagina's (van-tot) | 369-380 |
Aantal pagina's | 12 |
Tijdschrift | Obstetrical and Gynecological Survey |
Volume | 75 |
Nummer van het tijdschrift | 6 |
DOI's | |
Status | Gepubliceerd - 1 jun. 2020 |
Vingerafdruk
Duik in de onderzoeksthema's van 'The Noninvasive Fetal Electrocardiogram During Labor: A Review of the Literature'. Samen vormen ze een unieke vingerafdruk.Impact
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Perinatal Medicine
van der Hout-van der Jagt, M. B. (Content manager) & Delvaux, E. (Content manager)
Impact: Research Topic/Theme (at group level)