TY - JOUR AU - DEVOE, LAWRENCE D. AB - CLINICAL OBSTETRICS AND GYNECOLOGY Volume 54, Number 1, 56–65 r 2011, Lippincott Williams & Wilkins Fetal ECG Analysis for Intrapartum Electronic Fetal Monitoring: A Review LAWRENCE D. DEVOE, MD Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta, Georgia Abstract: Computerized analysis of the fetal electro- to appear in the mid-1970s but failed to cardiogram has been developed during the past 40 show benefits of EFM. Recent meta-anal- years. A mature system for ST analysis (STAN) has ysis showed that, when compared with resulted from a series of laboratory and clinical stu- fetal heart rate (FHR) auscultation, EFM dies. The current STAN system provides adjunctive information to the standard interpretation of fetal led to higher operative delivery rates with- heart rate (FHR) patterns. This monograph describes out significant lowering perinatal mortal- the basis for the STAN methodology, including the ity. Adjunctive methods to improve the derivation of its basic measure, the T : QRS ratio. It specificity of EFM, such as fetal scalp summarizes the supporting research and clinical trials blood sampling for pH determination, that have led to its adoption in obstetric practice. The STAN methodology is outlined according to current were introduced in the mid-1970s. The TI - Fetal ECG Analysis for Intrapartum Electronic Fetal Monitoring A Review JO - Clinical Obstetrics & Gynecology DO - 10.1097/GRF.0b013e31820a0ee7 DA - 2011-03-01 UR - https://www.deepdyve.com/lp/wolters-kluwer-health/fetal-ecg-analysis-for-intrapartum-electronic-fetal-monitoring-a-gv18CIdpf1 SP - 56–65-56&ndash EP - ndash;65-56–65 VL - 54 IS - 1 DP - DeepDyve ER -