Fetal pulse oximetry for fetal assessment in labour (Review)

East, Christine E., Begg, Lisa, Colditz, Paul B. and Lau, Rosalind (2014) Fetal pulse oximetry for fetal assessment in labour (Review). Cochrane Database of Systematic Reviews, 2014 10: . doi:10.1002/14651858.CD004075.pub4

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads
UQ346941_OA.pdf Full text (open access) application/pdf 807.93KB 24

Author East, Christine E.
Begg, Lisa
Colditz, Paul B.
Lau, Rosalind
Title Fetal pulse oximetry for fetal assessment in labour (Review)
Journal name Cochrane Database of Systematic Reviews   Check publisher's open access policy
ISSN 1469-493X
Publication date 2014-10-07
Year available 2014
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/14651858.CD004075.pub4
Open Access Status File (Author Post-print)
Volume 2014
Issue 10
Total pages 73
Place of publication Oxford, United Kingdom
Publisher John Wiley and Sons
Collection year 2015
Language eng
Formatted abstract
Using fetal pulse oximetry to assess the baby's well-being during labour does not change overall caesarean section rates.

During labour, the well-being of the baby can be assessed intermittently using a Pinard stethoscope or hand-held monitor to listen to the heart rate, or continuously using cardiotocography (CTG), sometimes called electronic fetal monitoring (EFM). There are also additional tests that can be used if the baby is thought to be getting short of oxygen, like testing the baby's blood in a sample taken from the baby's head or bottom, or through the recording of the electrical activity of the heart using an electrocardiogram (ECG). Fetal pulse oximetry measures how much oxygen the baby's blood is carrying. It uses a probe that sits on the baby's head whilst in the uterus and vagina during labour. The probe is said not to interfere with the woman's mobility during labour. This review looked at fetal pulse oximetry and found trials that used it in conjunction with a CTG. We compared the outcomes for this combined oximetry and CTG, with outcomes where only the CTG had been used, or a combination of CTG and fetal ECG had been used.

The review identified seven trials involving 8013 women. Fetal pulse oximetry plus CTG showed no difference in caesarean section rates overall, nor any difference in the mother's or newborn's health, compared with CTG alone. If there was concern about the baby's well-being before the fetal pulse oximetry probe was placed, the use of fetal pulse oximetry reduced caesarean sections performed for the baby's well-being. The one trial of oximetry with CTG compared with CTG and fetal ECG showed an increase in the caesarean rate in the oximetry group. In two of the trials, the company making the fetal pulse oximetry machines provided some funding. A better method than fetal pulse oximetry is needed for checking on the well-being of the baby during labour.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: UQ Centre for Clinical Research Publications
Official 2015 Collection
School of Medicine Publications
School of Nursing, Midwifery and Social Work Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 10 Dec 2014, 09:41:36 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work