ISSN 2326-7283
African Journal of Internal Medicine ISSN 2326-7283 Vol. 7 (3), pp. 001-006, March, 2019. © International Scholars Journals
Full Length Research Paper
Usefulness fetal heart rate of intrapartum fetal pulse oximetry in clinical decision-making based on cardiotocographic criteria of nonreassuring
López MF1*, Puertas A2, Valverde M3, Gallo JL2, Aibar L2 and Moreno D2
1Department of Obstetrics and Gynecology, Poniente Hospital, Carretera Almerimar s/n, 04700 El Ejido, Almería, Spain.
2Department of Obstetrics and Gynecology, University Hospital “Virgen de las Nieves”, Granada, Spain.
3Department of Obstetrics and Gynecology, Hospital Santa Ana, Motril, Granada, Spain Spain.
Accepted 13 November, 2018
Abstract
The objective of this study was to quantify the influence of intrapartum fetal pulse oximetry on rates of cesarean delivery motivated by nonreasssuring fetal heart rate. This is an Interventional quasi-experimental single-cohort study of women who fulfilled cardiotocographic criteria for ending labor. The decision whether to allow labor to proceed or to end labor was based on the FSpO2 value. Of the 156 pregnant women who met the cardiotocographic criteria for ending labor, cesarean delivery was used for only 47 based on a protocol for intrapartum fetal monitoring with pulse oximetry. Mean umbilical artery blood pH was 7.20. Intrapartum pulse oximetry for fetuses with nonreassuring fetal heart rate provided information on actual fetal oxygenation status, and led to a lower rate of false positive findings than with cardiotocographic monitoring and hence a reduction in the number of cesarean deliveries due to nonreassuring fetal heart rate.
Key words: Cesarean delivery, fetus, fetal pulse oximetry, electronic fetal monitoring.