ST Segment Analysis as an Adjunct to Electronic Fetal Monitoring, Part I: Background, Physiology, and Interpretation

Michael A. Belfort; George R. Saade

doi:10.1016/j.clp.2010.12.009

ST Segment Analysis as an Adjunct to Electronic Fetal Monitoring, Part I: Background, Physiology, and Interpretation

Michael A. Belfort, George R. Saade

Obstetrics & Gynecology

Research output: Contribution to journal › Review article › peer-review

12 Scopus citations

Abstract

Fetal electrocardiogram (ECG) ST segment analysis (STAN) was approved in 2005 in the United States as an adjunct to electronic fetal heart rate monitoring to determine whether obstetrical intervention is warranted when there is an increased risk for developing metabolic acidosis. STAN has utility in the reduction of fetal acidosis at birth, decreased need for fetal scalp blood sampling during labor, and decreased need for operative vaginal delivery and emergency cesarean delivery for fetal indications. This article discusses specific fetal ECG changes and their significance and the use of the STAN system.

Original language	English (US)
Pages (from-to)	143-157
Number of pages	15
Journal	Clinics in Perinatology
Volume	38
Issue number	1
DOIs	https://doi.org/10.1016/j.clp.2010.12.009
State	Published - Mar 2011

Keywords

Electrocardiogram
Fetal heart rate
ST segment analysis
T/QRS ratio

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

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10.1016/j.clp.2010.12.009

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abstract = "Fetal electrocardiogram (ECG) ST segment analysis (STAN) was approved in 2005 in the United States as an adjunct to electronic fetal heart rate monitoring to determine whether obstetrical intervention is warranted when there is an increased risk for developing metabolic acidosis. STAN has utility in the reduction of fetal acidosis at birth, decreased need for fetal scalp blood sampling during labor, and decreased need for operative vaginal delivery and emergency cesarean delivery for fetal indications. This article discusses specific fetal ECG changes and their significance and the use of the STAN system.",

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AU - Saade, George R.

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N2 - Fetal electrocardiogram (ECG) ST segment analysis (STAN) was approved in 2005 in the United States as an adjunct to electronic fetal heart rate monitoring to determine whether obstetrical intervention is warranted when there is an increased risk for developing metabolic acidosis. STAN has utility in the reduction of fetal acidosis at birth, decreased need for fetal scalp blood sampling during labor, and decreased need for operative vaginal delivery and emergency cesarean delivery for fetal indications. This article discusses specific fetal ECG changes and their significance and the use of the STAN system.

AB - Fetal electrocardiogram (ECG) ST segment analysis (STAN) was approved in 2005 in the United States as an adjunct to electronic fetal heart rate monitoring to determine whether obstetrical intervention is warranted when there is an increased risk for developing metabolic acidosis. STAN has utility in the reduction of fetal acidosis at birth, decreased need for fetal scalp blood sampling during labor, and decreased need for operative vaginal delivery and emergency cesarean delivery for fetal indications. This article discusses specific fetal ECG changes and their significance and the use of the STAN system.

KW - Electrocardiogram

KW - Fetal heart rate

KW - ST segment analysis

KW - T/QRS ratio

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ST Segment Analysis as an Adjunct to Electronic Fetal Monitoring, Part I: Background, Physiology, and Interpretation

Abstract

Keywords

ASJC Scopus subject areas

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