STAN in clinical practice -: The outcome of 2 years of regular use in the city of Gothenburg
STAN in clinical practice -: The outcome of 2 years of regular use in the city of Gothenburg
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DOI：
10.1016/j.ajog.2006.01.108
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发表时间：
2006-07-01
影响因子：
9.8
通讯作者：
Hagberg, Henrik
中科院分区：
文献类型：
--
作者：
Noren, Hakan;Blad, Sofia;Hagberg, Henrik
目的：本研究的目的是监测 STAN 方法（Noventa Medical，Moelndal，瑞典）的引入。研究设计：这是一项前瞻性观察研究，涵盖 2 年内足月分娩的总人口。使用 STAN S 21 胎心监护仪和相关临床指南对 14,687 例足月妊娠中的 4,830 例进行了监测。对脐动脉代谢性酸中毒、新生儿结局以及胎儿窘迫的手术分娩率进行了评估。结果：每年 STAN 使用率从 28.1% 增加到 37.7%，并且与总人口代谢性酸中毒率从 0.76% 显着降低到 0.44% 相关 (P < .05)。在需要干预的情况下，对临床指南的依从性有所提高。中度/重度新生儿缺氧性脑病的发生率始终较低，分别为每 1000 次分娩中 0.55 例和 0.68 例，这与之前的研究结果相对应。 The rate of operative delivery did not change during the 2 years in the total population.Conclusion: Increasing STAN usage provided consistent improvements in fetal outcome equalling those noted in the Swedish randomized controlled trial (RCT) without increasing operative interventions for fetal distress. (c) 2006 Mosby, Inc. 保留所有权利。
Objective: The purpose of this study was to monitor the introduction of the STAN-methodology (Noventa Medical, Moelndal, Sweden).Study design: This was a prospective observational study covering the total population of deliveries at term during 2 years. Four thousand eight hundred and thirty out of 14,687 term pregnancies were monitored using the STAN S 21 fetal heart monitor and the associated clinical guidelines. Cord artery metabolic acidosis, neonatal outcome, and rates of operative deliveries for fetal distress were assessed.Results: The annual rate of STAN usage increased from 28.1% to 37.7% and was associated with a significant reduction in metabolic acidosis rate in the total population from 0.76% to 0.44% (P < .05). The compliance with the clinical guidelines increased in cases requiring intervention. The rates for moderate/severe hypoxic neonatal encephalopathy were consistently low, 0.55 and 0.68 per 1000 deliveries, respectively, and corresponding to previous findings. The rate of operative delivery did not change during the 2 years in the total population.Conclusion: Increasing STAN usage provided consistent improvements in fetal outcome equalling those noted in the Swedish randomized controlled trial (RCT) without increasing operative interventions for fetal distress. (c) 2006 Mosby, Inc. All rights reserved.