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The Journal of Maternal-Fetal & Neonatal Medicine Volume 35, 2022 - Issue 25
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Original Articles

Adapted ST analysis during labor: relative versus absolute ST events, a case-control study

Alexandra D. J. Hulsenbooma Department of Obstetrics and Gynecology, Máxima Medical Center, Veldhoven, The Netherlands;c Department of Obstetrics and Gynecology, University Medical Center Utrecht, Utrecht, The NetherlandsCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0001-8186-5484
ORCID Icon,
Daisy A. A. van der Woudea Department of Obstetrics and Gynecology, Máxima Medical Center, Veldhoven, The Netherlands
,
Martina M. Poratha Department of Obstetrics and Gynecology, Máxima Medical Center, Veldhoven, The Netherlands
,
Anneke Kweeb Faculty of Electrical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
,
Rik Vullingsc Department of Obstetrics and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands
,
S. Guid Oeia Department of Obstetrics and Gynecology, Máxima Medical Center, Veldhoven, The Netherlands;c Department of Obstetrics and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands
&
Judith O. E. H. van Laara Department of Obstetrics and Gynecology, Máxima Medical Center, Veldhoven, The Netherlands
 show all
Pages 7375-7380 | Received 21 Oct 2020, Accepted 25 Jun 2021, Published online: 25 Jul 2021

References

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  • Amer-Wåhlin I, Hellsten C, Norén H, et al. Cardiotocography only versus cardiotocography plus ST analysis of fetal electrocardiogram for intrapartum fetal monitoring: a Swedish randomised controlled trial. Lancet. 2001;358(9281):534–538.
  • Schuit E, Amer-Wahlin I, Ojala K, et al. Effectiveness of electronic fetal monitoring with additional ST analysis in vertex singleton pregnancies at >36 weeks of gestation: an individual participant data metaanalysis. Am J Obstet Gynecol. 2013;208(3):187.e1–187.e13.
  • Greene KR, Dawes GS, Lilja H, et al. Changes in the ST waveform of the fetal lamb electrocardiogram with hypoxemia. Am J Obstet Gynecol. 1982;144(8):950–958.
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  • Vullings R, Verdurmen KMJ, Hulsenboom ADJ, et al. The electrical heart axis and ST events in fetal monitoring: a post-hoc analysis following a multicentre randomised controlled trial. PLOS One. 2017;12(4):e0175823–11.
  • Hulsenboom ADJ, Verdurmen KMJ, Vullings R, et al. Relative versus absolute rises in T/QRS ratio by ST analysis of fetal electrocardiograms in labour: a case-control pilot study. PLOS One. 2019;14(3):e0214357.
  • Becker JH, Kuipers LJM, Schuit E, et al. Predictive value of the baseline T-QRS ratio of the fetal electrocardiogram in intrapartum fetal monitoring: a prospective cohort study. Acta Obstet Gynecol Scand. 2012;91(2):189–197.
  • Van Laar J, Peters CHL, Vullings R, et al. Fetal autonomic response to severe acidaemia during labour. BJOG Int J Obstet Gynaecol. 2010;117(4):429–437.
  • Rothman KJ. Episheet: spreadsheets for the analysis of epidemiological data. Version of October 25, 2011. 2011. Available from: http://krothman.hostbyet2.com
  • Westerhuis MEMH, Kwee A, van Ginkel AA, et al. Limitations of ST analysis in clinical practice: three cases of intrapartum metabolic acidosis. BJOG. 2007;114(10):1194–1201.
  • Westerhuis MEMH, Van Horen E, Kwee A, et al. Inter- and intra-observer agreement of intrapartum ST analysis of the fetal electrocardiogram in women monitored by STAN. BJOG. 2009;116(4):545–551.
  • Fotiadou E, van Laar JOEH, Oei SG, et al. Enhancement of low-quality fetal electrocardiogram based on time-sequenced adaptive filtering. Med Biol Eng Comput. 2018;56(12):2313–2323.

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