Intrapartum fetal monitoring by ST analysis at University Hospital of Wales: usage and outcome. (16th November 2010)

• Record Type: Journal Article
• Authors: Faisel, H; Amin, P
• Is Part Of: Archives of disease in childhood. Volume 95(2010)Supplement 1
• Page Start: Fa88
• Page End: Fa88
• Publication Date: 2010-11-16
• Subjects: Infants -- Diseases -- Periodicals; Newborn infants -- Diseases -- Periodicals; Fetus -- Diseases -- Periodicals; 618.920105
• DOI: 10.1136/adc.2010.189605.88
• Languages: English
• ISSNs: 1359-2998

Abstract

Abstract : Objective: Review usage and outcome of cases where STAN fetal monitoring was used at University Hospital of Wales over 6 months (June–November 2009). Background: STAN monitoring was introduced in our unit in 2006. Local guideline for its usage is available. Training in its usage is regularly conducted in the unit. Methods: Paper files were hand searched for all cases where STAN monitoring was used during the study period. SPSS used for analysis. Results: STAN monitoring used in 43 cases (2% of deliveries). 77% were primip. STAN monitoring was used in high risk cases as post date induction of labour (44% of cases), medical problem (14%), intrauterine growth restriction (2%), cardiotocograph abnormalities (44%). Other indications were prolonged rupture of membranes, previous Caesarean section (CS), thick meconeum. Outcome: 33% had spontaneous vaginal delivery, 35% had instrumental delivery and 32% delivered by CS. 29% of these CS was for fetal distress and 71% for failure to progress. The background CS rate in the unit is 22%. There was one case of metabolic acidosis; delivery occurred within 30 min of significant STAN event. Three cases admitted to SCBU (special care baby unit): one for fetal academia and low Apgar score (discharged after 1 day), one for thick meconeum aspiration (discharged after 3 days) and last one for congenital anomaly. None required follow up. Conclusion: STAN usage in the unit was appropriate. Larger cohort is required to assess reduction of intervention and fetal academia.