Sensors for Fetal Hypoxia and Metabolic Acidosis: A Review.
Sensors for Fetal Hypoxia and Metabolic Acidosis: A Review.
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DOI：
10.3390/s18082648
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发表时间：
2018-08-13
期刊：
影响因子：
--
通讯作者：
Desmulliez MPY
中科院分区：
文献类型：
--
作者：
Cummins G;Kremer J;Bernassau A;Brown A;Bridle HL;Schulze H;Bachmann TT;Crichton M;Denison FC;Desmulliez MPY
本文回顾了现有的临床实践和传感器的研究进行监测胎儿的福祉在劳动。目前的临床实践，包括胎儿心率监测和胎儿头皮血液采样被证明是不够的或耗时。监测血中乳酸被认为是分娩期胎儿监测的潜在替代方法，因为它能够区分不同类型的酸中毒。从医学和技术的角度进行了文献综述，以确定目前的进展，在该领域的乳酸传感器的应用。它的结论是，一个侵入性较小，更连续的监测设备，需要满足产时胎儿监护的临床需求。本文还介绍了这种系统的潜在规格。
This article reviews existing clinical practices and sensor research undertaken to monitor fetal well-being during labour. Current clinical practices that include fetal heart rate monitoring and fetal scalp blood sampling are shown to be either inadequate or time-consuming. Monitoring of lactate in blood is identified as a potential alternative for intrapartum fetal monitoring due to its ability to distinguish between different types of acidosis. A literature review from a medical and technical perspective is presented to identify the current advancements in the field of lactate sensors for this application. It is concluded that a less invasive and a more continuous monitoring device is required to fulfill the clinical needs of intrapartum fetal monitoring. Potential specifications for such a system are also presented in this paper.
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