Constatnt electronic fetal heart monitoring versus recommendations of the World Health Organisation
Journal Title: Ginekologia i Położnictwo medical project - Year 2015, Vol 4, Issue 38
Abstract
Introduction. Progress which took place in obstetrics in scope of the technology caused implementing many new methods of diagnostics which are supposed to provide maximum safety for mother and child in the perinatal period. The aim of cardiocotography is reducing the frequency of damage to the central nervous system of the foetus. However, this procedure became a routine quickly, in spite of the lack of improvement in the neurological condition of newborn babies. It has been stated that constant intranatal cardiocotographic monitoring doesn’t bring better perinatal results than periodic sounding of the fetal heart activity. Aim. Getting the doctors’ opinion on the procedure of constant electronic fetal heart monitoring during the natural childbirth. Material and methods. A survey was held among obstetricians (n=160) from the Silesian voivodeship and maternity ward patients (n=200). A comparative analysis of doctors’ opinion and data from patients considering the frequency of constant electronic fetal heart monitoring during natural childbirth has been made. The research material was analyzed according to the doctors’ work experience and place of work. The findings were objected to statistical analysis. Student’s t-test and chi-square test with Yates’ amendment were used. The materiality level p<0,05 was assumed. Main outcome measures: Providing data concerning implementation of the WHO recommendation on constant electronic fetal heart monitoring. Results. Most of the doctors (78,8%) share the opinion that electronic fetal heart monitoring during natural childbirth should be performed periodically, while 21,2% think it should be performed constantly. According to patients, in 65,5% cases electronic fetal heart monitoring during labor was performed periodically, and in 34,5% cases in a constant way. In the assessment of the procedure realization, a statistically important difference was noted. Obstetricians express the opinion that electronic fetal heart monitoring should be performed constantly much less frequently than it is actually performed. Conclusions. Electronic fetal heart monitoring during natural childbirth is still a frequently applied method. It is necessary to implement this procedure only in cases which are medically justified.
Authors and Affiliations
Mariola Machura, Ryszard Poręba, Urszula Sioma-Markowska, Patrycja Krawczyk, Sylwia Kubaszewska, Violetta Skrzypulec-Plinta
Keywords
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