Fetal compromise in labor:
Sixty years ago, the purpose of introducing electronic fetal heart rate monitoring (EFM) was to reduce the incidence of intrapartum stillbirth. However, by the early 1980s, with falling stillbirth rates, fetal blood sampling had been widely abandoned, as many considered that EFM was sufficient on it...
Gespeichert in:
| Beteilige Person: | |
|---|---|
| Weitere beteiligte Personen: | , |
| Format: | E-Book |
| Sprache: | Englisch |
| Veröffentlicht: |
Cambridge
Cambridge University Press
2025
|
| Schriftenreihe: | Cambridge elements. Elements in high risk pregnancy: management options
|
| Links: | https://doi.org/10.1017/9781009466295 |
| Zusammenfassung: | Sixty years ago, the purpose of introducing electronic fetal heart rate monitoring (EFM) was to reduce the incidence of intrapartum stillbirth. However, by the early 1980s, with falling stillbirth rates, fetal blood sampling had been widely abandoned, as many considered that EFM was sufficient on its own. Unfortunately, while the sensitivity of EFM for the detection of potential fetal compromise is high, specificity is low, and there is a high false positive rate which has been associated with a rising cesarean section rate. The authors suggest that EFM is considered and analyzed as a classic screening test and not a diagnostic test. Furthermore, it requires contextualization with other risk factors to achieve improved performance. A new proposed metric, the Fetal Reserve Index, takes into account additional risk factors and has demonstrated significantly improved performance metrics. It is going through the phases of further development, evaluation, and wider clinical implementation. |
| Umfang: | 1 Online-Ressource (67 Seiten) |
| ISBN: | 9781009466295 |
| ISSN: | 2976-8330 |
Internformat
MARC
| LEADER | 00000nam a2200000 i 4500 | ||
|---|---|---|---|
| 001 | ZDB-20-CTM-CR9781009466295 | ||
| 003 | UkCbUP | ||
| 005 | 20250128135509.0 | ||
| 006 | m|||||o||d|||||||| | ||
| 007 | cr|||||||||||| | ||
| 008 | 230731s2025||||enk o ||1 0|eng|d | ||
| 020 | |a 9781009466295 | ||
| 100 | 1 | |a Evans, Mark I. | |
| 245 | 1 | 0 | |a Fetal compromise in labor |c Mark I. Evans, Lawrence D. Devoe, Philip J. Steer |
| 264 | 1 | |a Cambridge |b Cambridge University Press |c 2025 | |
| 300 | |a 1 Online-Ressource (67 Seiten) | ||
| 336 | |b txt | ||
| 337 | |b c | ||
| 338 | |b cr | ||
| 490 | 1 | |a Cambridge elements. Elements in high risk pregnancy: management options |x 2976-8330 | |
| 520 | |a Sixty years ago, the purpose of introducing electronic fetal heart rate monitoring (EFM) was to reduce the incidence of intrapartum stillbirth. However, by the early 1980s, with falling stillbirth rates, fetal blood sampling had been widely abandoned, as many considered that EFM was sufficient on its own. Unfortunately, while the sensitivity of EFM for the detection of potential fetal compromise is high, specificity is low, and there is a high false positive rate which has been associated with a rising cesarean section rate. The authors suggest that EFM is considered and analyzed as a classic screening test and not a diagnostic test. Furthermore, it requires contextualization with other risk factors to achieve improved performance. A new proposed metric, the Fetal Reserve Index, takes into account additional risk factors and has demonstrated significantly improved performance metrics. It is going through the phases of further development, evaluation, and wider clinical implementation. | ||
| 700 | 1 | |a Devoe, Lawrence D. | |
| 700 | 1 | |a Steer, Philip J. | |
| 776 | 0 | 8 | |i Erscheint auch als |n Druck-Ausgabe |z 9781009466301 |
| 966 | 4 | 0 | |l DE-91 |p ZDB-20-CTM |q TUM_PDA_CTM |u https://doi.org/10.1017/9781009466295 |3 Volltext |
| 912 | |a ZDB-20-CTM | ||
| 912 | |a ZDB-20-CTM | ||
| 049 | |a DE-91 | ||
Datensatz im Suchindex
| DE-BY-TUM_katkey | ZDB-20-CTM-CR9781009466295 |
|---|---|
| _version_ | 1825574045518659584 |
| adam_text | |
| any_adam_object | |
| author | Evans, Mark I. |
| author2 | Devoe, Lawrence D. Steer, Philip J. |
| author2_role | |
| author2_variant | l d d ld ldd p j s pj pjs |
| author_facet | Evans, Mark I. Devoe, Lawrence D. Steer, Philip J. |
| author_role | |
| author_sort | Evans, Mark I. |
| author_variant | m i e mi mie |
| building | Verbundindex |
| bvnumber | localTUM |
| collection | ZDB-20-CTM |
| format | eBook |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01860nam a2200277 i 4500</leader><controlfield tag="001">ZDB-20-CTM-CR9781009466295</controlfield><controlfield tag="003">UkCbUP</controlfield><controlfield tag="005">20250128135509.0</controlfield><controlfield tag="006">m|||||o||d||||||||</controlfield><controlfield tag="007">cr||||||||||||</controlfield><controlfield tag="008">230731s2025||||enk o ||1 0|eng|d</controlfield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">9781009466295</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Evans, Mark I.</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Fetal compromise in labor</subfield><subfield code="c">Mark I. Evans, Lawrence D. Devoe, Philip J. Steer</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Cambridge</subfield><subfield code="b">Cambridge University Press</subfield><subfield code="c">2025</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">1 Online-Ressource (67 Seiten)</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">c</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">cr</subfield></datafield><datafield tag="490" ind1="1" ind2=" "><subfield code="a">Cambridge elements. Elements in high risk pregnancy: management options</subfield><subfield code="x">2976-8330</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Sixty years ago, the purpose of introducing electronic fetal heart rate monitoring (EFM) was to reduce the incidence of intrapartum stillbirth. However, by the early 1980s, with falling stillbirth rates, fetal blood sampling had been widely abandoned, as many considered that EFM was sufficient on its own. Unfortunately, while the sensitivity of EFM for the detection of potential fetal compromise is high, specificity is low, and there is a high false positive rate which has been associated with a rising cesarean section rate. The authors suggest that EFM is considered and analyzed as a classic screening test and not a diagnostic test. Furthermore, it requires contextualization with other risk factors to achieve improved performance. A new proposed metric, the Fetal Reserve Index, takes into account additional risk factors and has demonstrated significantly improved performance metrics. It is going through the phases of further development, evaluation, and wider clinical implementation.</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Devoe, Lawrence D.</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Steer, Philip J.</subfield></datafield><datafield tag="776" ind1="0" ind2="8"><subfield code="i">Erscheint auch als</subfield><subfield code="n">Druck-Ausgabe</subfield><subfield code="z">9781009466301</subfield></datafield><datafield tag="966" ind1="4" ind2="0"><subfield code="l">DE-91</subfield><subfield code="p">ZDB-20-CTM</subfield><subfield code="q">TUM_PDA_CTM</subfield><subfield code="u">https://doi.org/10.1017/9781009466295</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-20-CTM</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-20-CTM</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-91</subfield></datafield></record></collection> |
| id | ZDB-20-CTM-CR9781009466295 |
| illustrated | Not Illustrated |
| indexdate | 2025-03-03T11:57:59Z |
| institution | BVB |
| isbn | 9781009466295 |
| issn | 2976-8330 |
| language | English |
| open_access_boolean | |
| owner | DE-91 DE-BY-TUM |
| owner_facet | DE-91 DE-BY-TUM |
| physical | 1 Online-Ressource (67 Seiten) |
| psigel | ZDB-20-CTM TUM_PDA_CTM ZDB-20-CTM |
| publishDate | 2025 |
| publishDateSearch | 2025 |
| publishDateSort | 2025 |
| publisher | Cambridge University Press |
| record_format | marc |
| series2 | Cambridge elements. Elements in high risk pregnancy: management options |
| spelling | Evans, Mark I. Fetal compromise in labor Mark I. Evans, Lawrence D. Devoe, Philip J. Steer Cambridge Cambridge University Press 2025 1 Online-Ressource (67 Seiten) txt c cr Cambridge elements. Elements in high risk pregnancy: management options 2976-8330 Sixty years ago, the purpose of introducing electronic fetal heart rate monitoring (EFM) was to reduce the incidence of intrapartum stillbirth. However, by the early 1980s, with falling stillbirth rates, fetal blood sampling had been widely abandoned, as many considered that EFM was sufficient on its own. Unfortunately, while the sensitivity of EFM for the detection of potential fetal compromise is high, specificity is low, and there is a high false positive rate which has been associated with a rising cesarean section rate. The authors suggest that EFM is considered and analyzed as a classic screening test and not a diagnostic test. Furthermore, it requires contextualization with other risk factors to achieve improved performance. A new proposed metric, the Fetal Reserve Index, takes into account additional risk factors and has demonstrated significantly improved performance metrics. It is going through the phases of further development, evaluation, and wider clinical implementation. Devoe, Lawrence D. Steer, Philip J. Erscheint auch als Druck-Ausgabe 9781009466301 |
| spellingShingle | Evans, Mark I. Fetal compromise in labor |
| title | Fetal compromise in labor |
| title_auth | Fetal compromise in labor |
| title_exact_search | Fetal compromise in labor |
| title_full | Fetal compromise in labor Mark I. Evans, Lawrence D. Devoe, Philip J. Steer |
| title_fullStr | Fetal compromise in labor Mark I. Evans, Lawrence D. Devoe, Philip J. Steer |
| title_full_unstemmed | Fetal compromise in labor Mark I. Evans, Lawrence D. Devoe, Philip J. Steer |
| title_short | Fetal compromise in labor |
| title_sort | fetal compromise in labor |
| work_keys_str_mv | AT evansmarki fetalcompromiseinlabor AT devoelawrenced fetalcompromiseinlabor AT steerphilipj fetalcompromiseinlabor |