The Regional Centralization of Electronic Fetal Heart Rate Monitoring and Its Impact on Neonatal Acidemia and the Cesarean Birth Rate
Joint Authors
Sameshima, Hiroshi
Urabe, Hirotoshi
Tokunaga, Syuichi
Kodama, Yuki
Ikenoue, Tsuyomu
Michikata, Kaori
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-09
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
The improvement of the accuracy of fetal heart rate (FHR) pattern interpretation to improve perinatal outcomes remains an elusive challenge.
We examined the impact of an FHR centralization system on the incidence of neonatal acidemia and cesarean births.
Methods.
We performed a regional, population-based, before-and-after study of 9,139 deliveries over a 3-year period.
The chi-squared test was used for the statistical analysis.
Results.
The before-and-after study showed no difference in the rates of acidemia, cesarean births, or perinatal death in the whole population.
A subgroup analysis using the 4 hospitals in which an FHR centralization system was continuously connected (compliant group) and 3 hospitals in which the FHR centralization system was connected on demand (noncompliant group) showed that the incidence acidemia was significantly decreased (from 0.47% to 0.11%) without a corresponding increase in the cesarean birth rate due to nonreassuring FHR patterns in the compliant group.
Although there was no difference in the incidence of nonreassuring FHR patterns in the noncompliant group, the total cesarean birth rate was significantly higher than that in the compliant group.
Conclusion.
The continuous FHR centralization system, in which specialists help to interpret results and decide clinical actions, was beneficial in reducing the incidence of neonatal acidemia (pH < 7.1) without increasing the cesarean birth rate due to nonreassuring FHR patterns.
American Psychological Association (APA)
Michikata, Kaori& Sameshima, Hiroshi& Urabe, Hirotoshi& Tokunaga, Syuichi& Kodama, Yuki& Ikenoue, Tsuyomu. 2016. The Regional Centralization of Electronic Fetal Heart Rate Monitoring and Its Impact on Neonatal Acidemia and the Cesarean Birth Rate. Journal of Pregnancy،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1110180
Modern Language Association (MLA)
Michikata, Kaori…[et al.]. The Regional Centralization of Electronic Fetal Heart Rate Monitoring and Its Impact on Neonatal Acidemia and the Cesarean Birth Rate. Journal of Pregnancy No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1110180
American Medical Association (AMA)
Michikata, Kaori& Sameshima, Hiroshi& Urabe, Hirotoshi& Tokunaga, Syuichi& Kodama, Yuki& Ikenoue, Tsuyomu. The Regional Centralization of Electronic Fetal Heart Rate Monitoring and Its Impact on Neonatal Acidemia and the Cesarean Birth Rate. Journal of Pregnancy. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1110180
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1110180