Monitoring Fetal Heart Rate during Labor: A Comparison of Three Methods
The purpose of the study was to compare the accuracy of a noninvasive fetal heart rate monitor with that of ultrasound, using a fetal scalp electrode as the gold standard, in laboring women of varying body habitus, throughout labor and delivery. Laboring women requiring fetal scalp electrode were mo...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2017/8529816 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832562689525678080 |
|---|---|
| author | Tammy Y. Euliano Shalom Darmanjian Minh Tam Nguyen John D. Busowski Neil Euliano Anthony R. Gregg |
| author_facet | Tammy Y. Euliano Shalom Darmanjian Minh Tam Nguyen John D. Busowski Neil Euliano Anthony R. Gregg |
| author_sort | Tammy Y. Euliano |
| collection | DOAJ |
| description | The purpose of the study was to compare the accuracy of a noninvasive fetal heart rate monitor with that of ultrasound, using a fetal scalp electrode as the gold standard, in laboring women of varying body habitus, throughout labor and delivery. Laboring women requiring fetal scalp electrode were monitored simultaneously with the investigational device (noninvasive fetal ECG), ultrasound, and fetal scalp electrode. An algorithm extracted the fetal heart rate from the noninvasive fetal ECG signal. Each noninvasive device recording was compared with fetal scalp electrode with regard to reliability by positive percent agreement and accuracy by root mean squared error. Seventy-one women were included in this analysis. Positive percent agreement was 83.4±15.4% for noninvasive fetal ECG and 62.4±26.7% for ultrasound. The root mean squared error compared with fetal scalp electrode-derived fetal heart rate was 4.8 ± 2.0 bpm for noninvasive fetal ECG and 14.3 ± 8.2 bpm for ultrasound. The superiority of noninvasive fetal ECG was maintained for stages 1 and 2 of labor and increases in body mass index. Compared with fetal scalp electrode-derived fetal heart rate, noninvasive fetal ECG is more accurate and reliable than ultrasound for intrapartum monitoring for stages 1 and 2 of labor and is less affected by increasing maternal body mass index. This confirms the results of other workers in this field. |
| format | Article |
| id | doaj-art-9da6129e5e9c415999562bb1427fb1d8 |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-9da6129e5e9c415999562bb1427fb1d82025-02-03T01:22:01ZengWileyJournal of Pregnancy2090-27272090-27352017-01-01201710.1155/2017/85298168529816Monitoring Fetal Heart Rate during Labor: A Comparison of Three MethodsTammy Y. Euliano0Shalom Darmanjian1Minh Tam Nguyen2John D. Busowski3Neil Euliano4Anthony R. Gregg5Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USAOBMedical, Jonesville, FL, USAOBMedical, Jonesville, FL, USAWinnie Palmer Hospital for Women & Babies, Orlando, FL, USAOBMedical, Jonesville, FL, USADepartment of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, FL, USAThe purpose of the study was to compare the accuracy of a noninvasive fetal heart rate monitor with that of ultrasound, using a fetal scalp electrode as the gold standard, in laboring women of varying body habitus, throughout labor and delivery. Laboring women requiring fetal scalp electrode were monitored simultaneously with the investigational device (noninvasive fetal ECG), ultrasound, and fetal scalp electrode. An algorithm extracted the fetal heart rate from the noninvasive fetal ECG signal. Each noninvasive device recording was compared with fetal scalp electrode with regard to reliability by positive percent agreement and accuracy by root mean squared error. Seventy-one women were included in this analysis. Positive percent agreement was 83.4±15.4% for noninvasive fetal ECG and 62.4±26.7% for ultrasound. The root mean squared error compared with fetal scalp electrode-derived fetal heart rate was 4.8 ± 2.0 bpm for noninvasive fetal ECG and 14.3 ± 8.2 bpm for ultrasound. The superiority of noninvasive fetal ECG was maintained for stages 1 and 2 of labor and increases in body mass index. Compared with fetal scalp electrode-derived fetal heart rate, noninvasive fetal ECG is more accurate and reliable than ultrasound for intrapartum monitoring for stages 1 and 2 of labor and is less affected by increasing maternal body mass index. This confirms the results of other workers in this field.http://dx.doi.org/10.1155/2017/8529816 |
| spellingShingle | Tammy Y. Euliano Shalom Darmanjian Minh Tam Nguyen John D. Busowski Neil Euliano Anthony R. Gregg Monitoring Fetal Heart Rate during Labor: A Comparison of Three Methods Journal of Pregnancy |
| title | Monitoring Fetal Heart Rate during Labor: A Comparison of Three Methods |
| title_full | Monitoring Fetal Heart Rate during Labor: A Comparison of Three Methods |
| title_fullStr | Monitoring Fetal Heart Rate during Labor: A Comparison of Three Methods |
| title_full_unstemmed | Monitoring Fetal Heart Rate during Labor: A Comparison of Three Methods |
| title_short | Monitoring Fetal Heart Rate during Labor: A Comparison of Three Methods |
| title_sort | monitoring fetal heart rate during labor a comparison of three methods |
| url | http://dx.doi.org/10.1155/2017/8529816 |
| work_keys_str_mv | AT tammyyeuliano monitoringfetalheartrateduringlaboracomparisonofthreemethods AT shalomdarmanjian monitoringfetalheartrateduringlaboracomparisonofthreemethods AT minhtamnguyen monitoringfetalheartrateduringlaboracomparisonofthreemethods AT johndbusowski monitoringfetalheartrateduringlaboracomparisonofthreemethods AT neileuliano monitoringfetalheartrateduringlaboracomparisonofthreemethods AT anthonyrgregg monitoringfetalheartrateduringlaboracomparisonofthreemethods |