Update on intrapartum fetal pulse oximetry

East, CE, Colditz, PB, Begg, LM and Brennecke, SP (2002) Update on intrapartum fetal pulse oximetry. Australian & New Zealand Journal of Obstetrics & Gynaecology, 42 2: 119-124. doi:10.1111/j.0004-8666.2002.00119.x

Author East, CE
Colditz, PB
Begg, LM
Brennecke, SP
Title Update on intrapartum fetal pulse oximetry
Journal name Australian & New Zealand Journal of Obstetrics & Gynaecology   Check publisher's open access policy
ISSN 0004-8666
Publication date 2002
Sub-type Article (original research)
DOI 10.1111/j.0004-8666.2002.00119.x
Volume 42
Issue 2
Start page 119
End page 124
Total pages 6
Editor M. Humphrey
C. Crowther et al.
Place of publication Melbourne
Publisher Royal Australian NZ College Obstetricians & Gynecologists
Collection year 2002
Language eng
Subject C1
321014 Obstetrics and Gynaecology
730305 Diagnostic methods
Abstract This article examines the current status of fetal pulse oximetry (FPO) as a means of intrapartum assessment of fetal wellbeing. FPO has been developed to a stage where it is a safe and accurate indicator of intrapartum fetal oxygenation. In general, sliding the FPO sensor along the examiner's fingers and through the cervix, to lie alongside the fetal cheek or temple is easy The recent publication of a randomised controlled trial (RCT) of FPO versus conventional intrapartum monitoring has validated its use to reduce caesarean section rates for nonreassuring fetal status. An Australian multicentre RCT is currently underway. Maternal satisfaction rates with FPO are high. FPO may be used during labour when the electronic fetal heart rate trace is nonreassuring or when conventional monitoring is unreliable, such as with fetal arrhythmias. If the fetal oxygen saturation (FSpO(2)) values are < 30%, prompt obstetric intervention is indicated, such as fetal scalp blood sampling or delivery FSpO(2) monitoring should not form the sole basis of intrapartum fetal welfare assessment. Rather, the whole clinical picture should be considered.
Keyword Obstetrics & Gynecology
Arterial Oxygen-saturation
Heart-rate Patterns
Randomized Trial
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
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Created: Tue, 14 Aug 2007, 17:31:52 EST