Julie Jomeen
Cardiotocography and ST analysis (STAN): a retrospective review
Jomeen, Julie; Cross, Deborah; Cairns, Janet
Authors
Deborah Cross
Janet Cairns
Abstract
Fetal heart monitoring via cardiotocograph (CTG) has become integral to modern maternity care. The development of more sophisticated analytical techniques for fetal heart rate analysis has resulted in fetal monitoring systems that can add automated fetal electrocardiographic ST segment analysis (STAN) to the customary CTG information, providing continuous diagnostic information about the ability of the fetus to respond to the stress of labour. One such method, the STAN fetal monitoring system has demonstrated clear clinical utility, however, unidentified adverse outcomes for women monitored by STAN have been shown to be a result of poor CTG interpretation, delay in taking action and non-adherence to guidelines, as well as poor signal quality. This article presents some of the findings of a 3-year retrospective review of STAN cases following its introduction into a UK maternity unit. Findings corroborate other study results which have highlighted that CTG interpretation is often poor, although a key issue in this review was a failure by practitioners to actually classify the CTG. Review findings, however, suggest that this might be more often a record keeping problem than an issue of clinical competence. Interesting findings around epidural use require further investigation. The findings of this review have clear implications for training and practice not only in units where STAN is used but more broadly.
Citation
Jomeen, J., Cross, D., & Cairns, J. (2010). Cardiotocography and ST analysis (STAN): a retrospective review. British Journal of Midwifery, 18(9), 568 - 574. https://doi.org/10.12968/bjom.2010.18.9.78065
Journal Article Type | Article |
---|---|
Online Publication Date | Sep 27, 2013 |
Publication Date | Sep 1, 2010 |
Journal | British Journal of Midwifery |
Print ISSN | 0969-4900 |
Publisher | MA Healthcare |
Peer Reviewed | Peer Reviewed |
Volume | 18 |
Issue | 9 |
Pages | 568 - 574 |
DOI | https://doi.org/10.12968/bjom.2010.18.9.78065 |
Public URL | https://hull-repository.worktribe.com/output/405201 |
Publisher URL | https://www.magonlinelibrary.com/doi/abs/10.12968/bjom.2010.18.9.78065 |
You might also like
The Tokophobia Severity Scale (TSS): measurement model, power and sample size considerations
(2021)
Journal Article
The experiences of fathers in the perinatal period
(2016)
Thesis
Downloadable Citations
About Repository@Hull
Administrator e-mail: repository@hull.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search