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Zusammenfassung

Die rechtzeitige Erkennung fetaler Hypoxämien sub partu gelingt seit Jahren nur durch die Kombination von Cardiotokographie und Fetalblutanalyse (FBA). Dabei weist die alleinige fetale Überwachung mittels kontinuierlicher CTG-Aufzeichnung eine geringe Spezifität bei der Erkennung fetaler Hypoxämien auf. Falsch positive Herzfrequenzmuster irritieren das geburtshilfliche Team und erhöhen nachweislich die operative Entbindungsstatistik.

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Literatur

  1. Bloom SL, Swindle RG, McIntire DD, Leveno KJ (1999) Fetal pulse oximetry: duration of desaturation and intrapartum outcome. Obstet Gynecol 93(6): 1036–1040

    Article  PubMed  CAS  Google Scholar 

  2. Butterwegge M (1998) Fetal pulse oximetry: from the first experimental studies of broad clinical use. An assessment of current status. Z Geburtshilfe Neonatol 202(6): 227–234

    PubMed  CAS  Google Scholar 

  3. Butterwegge M (1997) Fetal pulse oximetry and non-reassuring heart rate. Eur J Obstet Gynecol Reprod Biol 72: 63–66

    Article  Google Scholar 

  4. Butterwegge M, Seelbach-Gobel B, Kuhnert M (2002) Über den Einsatz der fetalen Pulsoxymetrie bei Risikogeburten in deutschen Kliniken. Ergebnisse einer Anwenderumfrage an 81 Geburtskliniken. Z Gebh Neonatol 206: 83–87

    Article  CAS  Google Scholar 

  5. Carbonne B, Langer B, Goffinet F, Audibert F, Tardif D, Le Goueff F, Laville M, Maillard F (1999) Clinical importance of fetal pulse oximetry. II. Comparative predictive values of oximetry and scalp pH. Multicenter study. J Gynecol Obstet Biol Reprod (Paris) 28(2): 137–144

    CAS  Google Scholar 

  6. Davies MG, Greene KR (1997) Fetal pulse oximetry — a preliminary report on sensor precision determined by dual sensor studies. Eur J Obstet Gynecol Reprod Biol 72 (Suppl): 35–41

    Article  Google Scholar 

  7. Dildy GA, Thorp JA, Yeast JD, Clark SL (1996) The relationship between oxygen saturation and pH in umbilical blood: implications for intrapartum fetal oxygen saturation monitoring. Am J Obstet Gynecol 175: 682–687

    Article  PubMed  CAS  Google Scholar 

  8. Garite TJ, Dildy GA, McNamara H, Nageotte MP, Boehm FH, Dellinger EH, Knuppel RA, Porreco RP, Miller HS, Sunderji S, Varner MW, Swedlow DB (2000) A multicenter controlled trial of fetal pulse oximetry in the intrapartum management of nonreassuring fetal heart rate patterns. Am J Obstet Gynecol 183(5): 1049–1058

    Article  PubMed  CAS  Google Scholar 

  9. Kühnert M, Seelbach-Göbel B, Butterwegge M (2001) Kritische Evaluierung der fetalen Pulsoxymetrie im klinischen Einsatz. Geburtsh Frauenheilk 61: 290–296

    Article  Google Scholar 

  10. Kühnert M, Seelbach-Göbel B, Di Renzo GC, Howarth E, Butterwegge M, Murray JM (1998) Guidelines for the use of fetal pulse oximetry during labor and delivery. Prenatal Neonat Med 3:432–433

    Google Scholar 

  11. Seelbach-Göbel B, Heupel M, Kuhnert M, Butterwegge M (1999) The prediction of fetal acidosis by means of intrapartum fetal pulse oximetry. Am J Obstet Gynecol 180: 73–81

    Article  PubMed  Google Scholar 

  12. McNamara HM, Dildy GA (1999) Continuous intrapartum pH, pO2, pCO2, and SpO2 monitoring. Obstet Gynecol Clin North Am 26(4): 671–693

    Article  PubMed  CAS  Google Scholar 

  13. Saling E (1995) Intensivüberwachung des Feten sub partu — Bedeutung und Fehleinschätzung. Geburtsh Frauenheilk 55: 628–633

    Article  PubMed  CAS  Google Scholar 

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© 2003 Springer-Verlag Berlin Heidelberg

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Butterwegge, M. (2003). Pulsoxymetrie am Feten. In: Bender, H.G., Dall, P. (eds) 54. Kongress der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18257-0_5

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  • DOI: https://doi.org/10.1007/978-3-642-18257-0_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62125-3

  • Online ISBN: 978-3-642-18257-0

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