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Reynolds F. Labour analgesia and the baby: good news is no news. Int J Obstet Anesth 2011; 20:38-50. [DOI: 10.1016/j.ijoa.2010.08.004] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2010] [Revised: 08/02/2010] [Accepted: 08/31/2010] [Indexed: 02/09/2023]
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Reynolds F. The effects of maternal labour analgesia on the fetus. Best Pract Res Clin Obstet Gynaecol 2010; 24:289-302. [DOI: 10.1016/j.bpobgyn.2009.11.003] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2009] [Accepted: 11/16/2009] [Indexed: 02/02/2023]
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Caliskan E, Ozdamar D, Doger E, Cakiroglu Y, Kus A, Corakci A. Prospective case control comparison of fetal intrapartum oxygen saturations during epidural analgesia. Int J Obstet Anesth 2010; 19:77-81. [DOI: 10.1016/j.ijoa.2009.04.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2008] [Revised: 01/30/2009] [Accepted: 04/10/2009] [Indexed: 10/20/2022]
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Abstract
Fetal pulse oximetry (FPO) has evolved through various phases of technical development and calibration. Clinical studies have addressed the issue of determining threshold action values and how well the technology is accepted by childbearing women and their caregivers. This article considers a variety of situations and factors that commonly occur during labor and that may influence fetal oximetry values. These include uterine contractions, supplemental oxygen and intravenous fluids administered to the mother, maternal position and epidural analgesia. The five randomized, controlled trials that compared the use of FPO in addition to fetal heart-rate monitoring with fetal heart-rate monitoring alone, have been systematically reviewed and subjected to meta-analysis where appropriate. Current clinical practice guidelines do not support the routine use of FPO; however, the recent emergence of robust multiwavelength oximeters may, in the future, offer further clinical applications for FPO.
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Affiliation(s)
- Christine E East
- Department of Obstetrics & Gynaecology, University of Melbourne, Royal Women’s Hospital, Melbourne, Australia
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Aguilar Romero M, Puertas Prieto A, Hurtado Sánchez F, Carrillo Badillo M, Manzanares Galán S, Montoya Ventoso F. Influencia de la analgesia epidural en la saturación arterial fetal de oxígeno durante el período de dilatación. CLINICA E INVESTIGACION EN GINECOLOGIA Y OBSTETRICIA 2008. [DOI: 10.1016/s0210-573x(08)73070-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Arnaout L, Ghiglione S, Figueiredo S, Mignon A. Conséquences fœtales des techniques d’anesthésie au cours du travail. ACTA ACUST UNITED AC 2008; 37 Suppl 1:S46-55. [DOI: 10.1016/j.jgyn.2007.11.010] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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