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Accredited SCOPUS
Fetal heart rate monitoring: from Doppler to computerized analysis
( Ji Young Kwon ) , ( In Yang Park )
UCI I410-ECN-0102-2016-510-000675670

The monitoring of fetal heart rate (FHR) status is an important method to check well-being of the baby during labor. Since the electronic FHR monitoring was introduced 40 years ago, it has been expected to be an innovative screening test to detect fetuses who are becoming hypoxic and who may benefit from cesarean delivery or operative vaginal delivery. However, several randomized controlled trials have failed to prove that electronic FHR monitoring had any benefit of reducing the perinatal mortality and morbidity. Also it is now clear that the FHR monitoring had high intra- and interobserver disagreements and increased the rate of cesarean delivery. Despite such limitations, the FHR monitoring is still one of the most important obstetric procedures in clinical practice, and the cardiotocogram is the most-used equipment. To supplement cardiotocogram, new methods of computerized FHR analysis and electrocardiogram have been developed, and several clinical researches have been currently performed. Computerized equipment makes us to analyze beat-to-beat variability and short term heart rate patterns. Furthermore, researches about multiparameters of FHR variability will be ongoing.

Introduction
Background of FHR monitoring
FHR interpretation: a summary of the 2008 NICHD workshop
CTG monitoring for fetal assessment during labor
Obstetricians’ opinions of intrapartum fetal monitoring
Current guidelines
Other additional monitoring meth
[자료제공 : 네이버학술정보]
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