Fetal ECG analysis for intrapartum electronic fetal monitoring: a review

Computerized analysis of the fetal electrocardiogram has been developed during the past 40 years. A mature system for ST analysis (STAN) has resulted from a series of laboratory and clinical studies. The current STAN system provides adjunctive information to the standard interpretation of fetal hear...

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Bibliographic Details
Published inClinical obstetrics and gynecology Vol. 54; no. 1; p. 56
Main Author Devoe, Lawrence D
Format Journal Article
LanguageEnglish
Published United States 01.03.2011
Subjects
Electrocardiography
Female
Fetal Monitoring - methods
Heart Rate, Fetal
Humans
Labor, Obstetric
Pregnancy
Signal Processing, Computer-Assisted
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Summary:Computerized analysis of the fetal electrocardiogram has been developed during the past 40 years. A mature system for ST analysis (STAN) has resulted from a series of laboratory and clinical studies. The current STAN system provides adjunctive information to the standard interpretation of fetal heart rate (FHR) patterns. This monograph describes the basis for the STAN methodology, including the derivation of its basic measure, the T : QRS ratio. It summarizes the supporting research and clinical trials that have led to its adoption in obstetric practice. The STAN methodology is outlined according to current fetal heart rate classification and management guidelines. Recent clinical experiences with STAN systems in Europe and the United States are discussed. Finally, future directions for this technology are listed.
ISSN:1532-5520
DOI:10.1097/GRF.0b013e31820a0ee7