Application of intrapartum fetal oxygen saturation rate monitoring.
- Author:
Feng-zhen HAN
1
;
Xu-ming BIAN
;
Ming-ying GAI
;
Jun-tao LIU
;
Jian-qiu YANG
Author Information
- Publication Type:Journal Article
- MeSH: Acidosis; diagnosis; Apgar Score; Female; Fetal Blood; chemistry; Fetal Distress; blood; diagnosis; Fetal Monitoring; methods; Heart Rate, Fetal; Humans; Monitoring, Physiologic; Oximetry; methods; Oxygen; blood; Partial Pressure; Pregnancy; Prenatal Diagnosis
- From: Acta Academiae Medicinae Sinicae 2003;25(6):685-688
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the accuracy of the application of the intrapartum fetal oxygen saturation (FSO2) monitoring in predicting fetal acidosis and diagnosing intrauterine fetal distress.
METHODSContinuous FSO2 monitoring as well as internal and external fetal heart rate monitoring were applied respectively in 60 women in labor during active phase of the first stage and the second stage. All the monitoring methods were validated with standard sensitivity, specificity, positive predictive value, negative predictive value, and accuracy on the bases of Apgar score and cord artery blood analysis.
RESULTSThe mean FSO2 in the active phase of the first stage were significantly higher than in the second stage of labor. FSO2 correlated with pH, PO2, PCO2, and base excess (BE) of cord blood to a significant degree. There was linear correlation between FSO2 and cord artery blood pH. Using 30% cutoff diagnosing intrauterine fetal distress, the sensitivity, specificity, and accuracy were 80%, 100% and 98.3%, respectively.
CONCLUSIONFSO2 monitoring is an effective method diagnosing intrauterine fetal distress.
