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Journal articles on the topic 'Continuous Electronic Foetal Monitoring'

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Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Parihar, Bharti Choudhary, Babli Yadav, Priyanka Sharde, and Jaya Patel. "Intrapartum amnioinfusion in meconium stained amniotic fluid at term pregnancy." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 1 (December 26, 2020): 97. http://dx.doi.org/10.18203/2320-1770.ijrcog20205456.

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Background: In our country a major cause of perinatal mortality and morbidity is meconium aspiration syndrome (MAS) in new-born. The aim of this study is to assess feto-maternal outcome following intrapartum amnioinfusion in patients with meconium stained amniotic fluid and the rate of ceaserean deliveries following intrapartum amnioinfusion in patients with meconium stained amniotic fluid.Methods: This prospective observational study was conducted on 252 patients with pregnancy at or beyond 37 weeks in active labour with moderate to thick meconium stained amniotic fluid following spontaneous rupture or ARM. In such cases amnioinfusion was performed. Continuous electronic FHR monitoring was performed. Emergency LSCS was done when fetal Bradycardia was recorded or in case of non-progress of labor. Fetomaternal outcome will be noted.Results: In present study most, women had normal vaginal delivery 157 (62.30%) followed by LSCS 93 (36.91%) followed by forceps/vaccum delivery 02 (0.07%). No maternal complication was seen in 230 women (91.26%). Accidenatal hemorrhage was seen in 01 (0.39%) which was managed by emergency LSCS. Out of 252 neonates, 183 asymptomatic neonates at birth, 69 needed resuscitation and in which 52 neonates recovered and shifted back to mother and 17 neonates referred and admitted in NICU for MAS in which 07 were recovered and 10 neonates (3.96%) died due to MAS.Conclusions: Intrapartum amnio infusion in meconium stained amniotic fluid by diluting the meconium and by decreasing the cord compression decreases the incidence of foetal distress and there by decreases the rate of caesarean section, these all leads to decrease the incidence of maternal and perinatal morbidity and mortality.

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2

Jelly, Prasuna, Meenakshi Sharma, and Gunjot . "Perinatal practical guidelines on COVID-19: what one should know to reduce the risk." International Journal Of Community Medicine And Public Health 7, no. 12 (November 25, 2020): 5213. http://dx.doi.org/10.18203/2394-6040.ijcmph20205206.

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Risk of COVID-19 in pregnant woman is the same as that in the general population but as pregnancy is a state of immunosuppression along with other physiological respiratory and immune changes. A pregnant woman might show more severe symptoms of COVID-19 infection. Health care employees should be permitted to meet pregnant women through managed home visits and with help of teleconsultations. Mothers should follow meticulous hand hygiene, respiratory etiquettes and social distancing because they have key role in restricting spread of infection. Protein rich diet, vitamin C, vitamin D, zinc, calcium, iron and folic acid are very necessary components to be consumed by antenatal woman. It may help to protect mother and baby by having certain vaccines during pregnancy such as the influenza, tetanus and Tdap vaccines. Pregnant women with major risk of exposure/COVID-19 symptoms and no emergency obstetric issues should be stated for testing outside the hospital. Pregnant women without urgent obstetric issues awaiting results should stay at home to self-isolate. Those with emergency obstetric issues should be managed in labour room devoted to COVID-19 patients. Mode of delivery depends upon obstetrical indication and health condition of mother. Regular assessment of respiratory condition should be done during labour along with continuous electronic foetal monitoring. The WHO encourage mothers with COVID-19 to hold and breastfeed their babies because close connection is essential for new-born but to reduce risk of transmission temporary separation of new born from mother with confirmed or suspected COVID-19 is considered strongly.

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3

Emil Josephine, J. Princy, and M. Shanthi. "Effects of amnioinfusion in meconium-stained amniotic fluid complicating pregnancy." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 9 (August 26, 2021): 3504. http://dx.doi.org/10.18203/2320-1770.ijrcog20213475.

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Background: In our country a major cause of perinatal mortality and morbidity is MAS (MAS) in new-born. The aim of the study was to assess feto-maternal outcome following intrapartum amnioinfusion in patients with meconium-stained amniotic fluid and Neonatal intensive care unit (NICU) admission following intrapartum amnioinfusion in patients with meconium stained amniotic fluid.Methods: This prospective observational study was conducted on 200 patients with pregnancy at or beyond 37 weeks in active labour with moderate to thick meconium stained liqour following spontaneous rupture or Artificial rupture of membranes (ARM). In 100 patients amnioin fusion was performed and rest 100 were in control group. Continuous electronic fetal heart rate (FHR) monitoring was performed. Emergency lower segment caesarean section (LSCS) was done when fetal bradycardia was recorded or in case of non-progress of labor. Fetomaternal outcome will be noted.Results: In present study there were more cases of fetal distress in the control group (38) compared with the amnioinfusion group (24). 34 patients in the amnioinfusion group and 38 patients in the control group were delivered by LSCS. The incidence of MAS in amnioinfusion group was 3 in number where as 14 in number of control group. Similarly, in our study 13 neonates of amnioinfusion group and 31 neonates of control group were needed admission in NICU.Conclusions: Intrapartum amnioinfusion in meconium-stained amniotic fluid by diluting the meconium and by decreasing the cord compression decreases the incidence of foetal distress and there by decreases incidence of MAS in neonates and NICU admission, these all leads to decrease the incidence of maternal and perinatal morbidity and mortality.

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4

Gadappa, Shrinivas, Honey Gemavat, Sonali Deshpande, and Ankita Shah. "Interventions to reduce caesarean section rates at government medical college and hospital Aurangabad, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 4 (March 25, 2020): 1563. http://dx.doi.org/10.18203/2320-1770.ijrcog20201224.

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Background: Caesarean sections are effective in saving maternal and infant lives, but only when they are performed for medically indicated reasons, The Objective of this study was to reduce caesarean Section rate at GMCH, Aurangabad and to improve overall birthing experience with respectful maternity care.Methods: The caesarean sections done at GMCH Aurangabad were audited using Robson`s Ten Group classification system to identify the major contributors to the overall CS rate. The following clinical and non-clinical interventions were applied dynamically to control the caesarean section rates. Clinical Interventions were changes in protocols regarding induction of labour, Intermittent auscultation as opposed to continuous electronic foetal monitoring in low risk cases, use of a partogram, encouragement of different birthing positions, promoting TOLAC to reduce the secondary CS rate. Nonclinical interventions include encouragement of DOULA (birth companion), ante-natal counselling of the expectant mothers, training of healthcare staff for respectful maternity care and use of evidence based clinical practice guidelines with mandatory second opinion for every non recurrent indication of CS. Auditing of caesarean section using Robson classification.Results: In this study there has been steady decline in LSCS rates from 33% to 26.9%. On analysis with Robson classification, group 5 (previous LSCS) made largest contribution of 36.9% followed by Group 1, 2, 10 each contributed 18.01%,13.2% and 11.2% respectively. Group 6 to 10 account for 23%. Various birthing positions lowered use of oxytocics from 33 % to 19% as well lowered episiotomy rates with greater success in vaginal delivery.Conclusions: Modification of induction protocols have reduced the primary LSCS rates and successful VBAC using FLAMM score was helpful in reducing the repeat caesarean Sections. Various birthing positions, DOULA gave greater success in vaginal delivery. LSCS rates in mothers with breech, multiple or oblique/transverse lies were largely unmodifiable. Limiting the CS rate in low-risk pregnancies by individualizing every labour and not to set a time limit as long as mother and baby are closely monitored.

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5

Vardhan, Shakti, TK Bhattacharyya, SK Kathpalia, and SPS Kochar. "Intrapartum Electronic Foetal Monitoring : Does it Lead or Mislead?" Medical Journal Armed Forces India 62, no. 1 (January 2006): 51–55. http://dx.doi.org/10.1016/s0377-1237(06)80157-7.

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6

Meyer, B. A., J. E. Dickinson, S. W. Walsh, and V. M. Parisi. "Foetal vascular responses to thromboxane receptor blockade." Mediators of Inflammation 1, no. 1 (1992): 15–21. http://dx.doi.org/10.1155/s0962935192000048.

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We hypothesized that foetal administration of SQ-29,548, a putative thromboxane receptor blocker, would prevent foeto–placental vasoconstriction produced by the thromboxane mimic U46619. Arterial blood gases, continuous monitoring of maternal and foetal heart rates and blood pressures were performed in chronically catheterized pregnant ewes. Foetal blood flows and vascular resistance were determined with radioactive microspheres. SQ-29,548 effectively blocked the expected vasoconstrictive effects of thromboxane. However, prolonged infusion of SQ-29,548 resulted in significant decreases in umbilical–placental blood flow and foetal mean arterial pressure. This was accompanied by a respiratory acidemia. Potential therapy for the vasoconstrictive disorders of pregnancy with SQ-29,548 awaits further investigation of its intrinsic vasoactive properties in the umbilical–placental vasculature.

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7

Georgieva, A., S. J. Payne, and C. W. G. Redman. "Computerised electronic foetal heart rate monitoring in labour: automated contraction identification." Medical & Biological Engineering & Computing 47, no. 12 (October 14, 2009): 1315–20. http://dx.doi.org/10.1007/s11517-009-0538-9.

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8

LICHTEN, EDWARD M. "Continuous Electronic Fetal Monitoring And Interpretation By Microcomputer." Journal of Clinical Engineering 11, no. 3 (May 1986): 233–38. http://dx.doi.org/10.1097/00004669-198605000-00012.

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9

Haggerty, Lois A. "Continuous Electronic Fetal Monitoring: Contradictions Between Practice and Research." Journal of Obstetric, Gynecologic & Neonatal Nursing 28, no. 4 (July 1999): 409–16. http://dx.doi.org/10.1111/j.1552-6909.1999.tb02010.x.

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10

Walt, D. R. "Fiber-optic sensors for continuous clinical monitoring." Proceedings of the IEEE 80, no. 6 (June 1992): 903–11. http://dx.doi.org/10.1109/5.149452.

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11

Herbst, Andreas, and Ingemar Ingemarsson. "Intermittent versus continuous electronic monitoring in labour: a randomised study." BJOG: An International Journal of Obstetrics & Gynaecology 101, no. 8 (August 1994): 663–68. http://dx.doi.org/10.1111/j.1471-0528.1994.tb13181.x.

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12

Stoelting, Robert K. "Continuous Postoperative Electronic Monitoring and the Will to Require It." Anesthesia & Analgesia 121, no. 3 (September 2015): 579–81. http://dx.doi.org/10.1213/ane.0000000000000857.

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13

Takei, Kuniharu. "Wearable Flexible Sensor Sheets toward Continuous Healthcare Monitoring." Journal of The Japan Institute of Electronics Packaging 23, no. 5 (August 1, 2020): 347–52. http://dx.doi.org/10.5104/jiep.23.347.

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14

Berger, Marc, Anne Zygmanowski, Flora Sellering, Hannes Röhrich, Thorsten Perl, Hussam Mansour, and Stefan Zimmermann. "Contactless and continuous sodium concentration monitoring during continuous renal replacement therapy." Sensors and Actuators B: Chemical 320 (October 2020): 128372. http://dx.doi.org/10.1016/j.snb.2020.128372.

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15

Kumar, Anvesha, and Purshottam Bantaklal Jaju. "Admission test cardiotocography in labour as a predictor of foetal outcome in high risk pregnancies." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 4 (March 26, 2019): 1331. http://dx.doi.org/10.18203/2320-1770.ijrcog20190981.

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Background: Continuous fetal heart monitoring in all pregnant women in labour has gained prominence in obstetric practice in the recent years. The aim of this study was to emphasize on the role of admission cardiotocography (CTG) in labour as a predictor of foetal outcome in high risk pregnancies.Methods: This was a prospective observational study done on 340 high risk patients admitted in labour with a period of gestation of ≥37 weeks. An admission CTG which consists of a 20-minute recording of FHR and uterine contractions was taken and the foetal outcome was correlated with it. The non-parametric Chi-square test was used for statistical calculations and a p valve of <0.05 was considered to designate statistical significance.Results: The admission CTG was reactive in 69.4% of all patients, equivocal in 22.2% and pathological in 8.4% of the 340 recruited patients. A total of 37.5% of the patients were post-dated followed by 20.6% of pregnancy incuded hypertensive patients. The neonatal outcomes in terms of fetal distress, meconium stained liquor, NICU admission were considerably higher in pathological test. The specificity of the test was 53.3%, and the negative predictive was 86.49%.Conclusions: Admission CTG is a simple, useful screening test and serves as a non-invasive tool in forecasting the adverse foetal outcomes in high risk pregnancies.

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16

Zosel, J., H. Kaden, G. Peters, M. Hoffmann, P. Rudisch, L. Jäkel, G. Lauckner, A. Grodrian, and U. Guth. "Continuous long-term monitoring of ruminal pH." Sensors and Actuators B: Chemical 144, no. 2 (February 17, 2010): 395–99. http://dx.doi.org/10.1016/j.snb.2009.01.012.

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17

Trincavelli, Marco, Silvia Coradeschi, and Amy Loutfi. "Odour classification system for continuous monitoring applications." Sensors and Actuators B: Chemical 139, no. 2 (June 2009): 265–73. http://dx.doi.org/10.1016/j.snb.2009.03.018.

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18

Zhao, Yongjun, Siqi Li, Arthur Davidson, Bozhi Yang, Qian Wang, and Qiao Lin. "A MEMS viscometric sensor for continuous glucose monitoring." Journal of Micromechanics and Microengineering 17, no. 12 (November 14, 2007): 2528–37. http://dx.doi.org/10.1088/0960-1317/17/12/020.

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19

SUGIHARA, Makoto. "A Dynamic Continuous Signature Monitoring Technique for Reliable Microprocessors." IEICE Transactions on Electronics E94-C, no. 4 (2011): 477–86. http://dx.doi.org/10.1587/transele.e94.c.477.

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20

Seet, Emily, Laura Campbell, Sina Haeri, Mahmoud Ismail, and Amanda Horton. "691: Inpatient monitoring for monoamniotic twins: perinatal outcomes of continuous versus intermittent electronic fetal monitoring." American Journal of Obstetrics and Gynecology 206, no. 1 (January 2012): S308—S309. http://dx.doi.org/10.1016/j.ajog.2011.10.709.

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21

Sironi, Selena, Laura Capelli, Paolo Céntola, Renato Del Rosso, and Massimiliano Il Grande. "Continuous monitoring of odours from a composting plant using electronic noses." Waste Management 27, no. 3 (January 2007): 389–97. http://dx.doi.org/10.1016/j.wasman.2006.01.029.

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22

Supplee, Robin B., and Toni M. Vezeau. "Continuous Electronic Fetal Monitoring: Does It Belong In Low-Risk Births?" MCN, The American Journal of Maternal/Child Nursing 21, no. 6 (November 1996): 301–6. http://dx.doi.org/10.1097/00005721-199611000-00016.

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23

Quinn, Kristen H., Carol Tran Cao, D. Yvette Lacoursiere, and David Schrimmer. "Monoamniotic twin pregnancy: continuous inpatient electronic fetal monitoring—an impossible goal?" American Journal of Obstetrics and Gynecology 204, no. 2 (February 2011): 161.e1–161.e6. http://dx.doi.org/10.1016/j.ajog.2010.08.044.

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24

Kulyukin, Vladimir. "Audio, Image, Video, and Weather Datasets for Continuous Electronic Beehive Monitoring." Applied Sciences 11, no. 10 (May 19, 2021): 4632. http://dx.doi.org/10.3390/app11104632.

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In 2014, we designed and implemented BeePi, a multi-sensor electronic beehive monitoring system. Since then we have been using BeePi monitors deployed at different apiaries in northern Utah to design audio, image, and video processing algorithms to analyze forager traffic in the vicinity of Langstroth beehives. Since our first publication on BeePi in 2016, we have received multiple requests from researchers and practitioners for the datasets we have used in our research. The main objective of this article is to provide a comprehensive point of reference to the datasets that we have so far curated for our research. We hope that our datasets will provide stable performance benchmarks for continuous electronic beehive monitoring, help interested parties verify our findings and correct errors, and advance the state of the art in continuous electronic beehive monitoring and related areas of AI, machine learning, and data science.

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25

Beier, Brooke, Katherine Musick, Akira Matsumoto, Alyssa Panitch, Eric Nauman, and Pedro Irazoqui. "Toward a Continuous Intravascular Glucose Monitoring System." Sensors 11, no. 1 (December 31, 2010): 409–24. http://dx.doi.org/10.3390/s110100409.

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26

Kim, Jiyong, Salman Khan, Peng Wu, Sungjin Park, Hwanjoo Park, Choongho Yu, and Woochul Kim. "Self-charging wearables for continuous health monitoring." Nano Energy 79 (January 2021): 105419. http://dx.doi.org/10.1016/j.nanoen.2020.105419.

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27

Ricci, Peter P., and Otto J. Gregory. "Continuous Monitoring of TATP Using Ultrasensitive, Low-Power Sensors." IEEE Sensors Journal 20, no. 23 (December 1, 2020): 14058–64. http://dx.doi.org/10.1109/jsen.2020.3008254.

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28

Lizon-Martinez, S., R. Giannetti, J. L. Rodriguez-Marrero, and B. Tellini. "Design of a System for Continuous Intraocular Pressure Monitoring." IEEE Transactions on Instrumentation and Measurement 54, no. 4 (August 2005): 1534–40. http://dx.doi.org/10.1109/tim.2005.851216.

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29

Hoidalen, H. K., and M. Runde. "Continuous Monitoring of Circuit Breakers Using Vibration Analysis." IEEE Transactions on Power Delivery 20, no. 4 (October 2005): 2458–65. http://dx.doi.org/10.1109/tpwrd.2005.855486.

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30

Aguado, Daniel, and Christian Rosen. "Multivariate statistical monitoring of continuous wastewater treatment plants." Engineering Applications of Artificial Intelligence 21, no. 7 (October 2008): 1080–91. http://dx.doi.org/10.1016/j.engappai.2007.08.004.

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31

Escobedo, Pablo, Celia E. Ramos-Lorente, Antonio Martínez-Olmos, Miguel A. Carvajal, Mariano Ortega-Muñoz, Ignacio de Orbe-Payá, Fernando Hernández-Mateo, et al. "Wireless wearable wristband for continuous sweat pH monitoring." Sensors and Actuators B: Chemical 327 (January 2021): 128948. http://dx.doi.org/10.1016/j.snb.2020.128948.

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32

van Enter, Benjamin Jasha, and Elizabeth von Hauff. "Challenges and perspectives in continuous glucose monitoring." Chemical Communications 54, no. 40 (2018): 5032–45. http://dx.doi.org/10.1039/c8cc01678j.

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33

Atkins, A., B. Ghosh, J. C. Gillham, and C. L. Tower. "Continuous intrapartum electronic fetal monitoring - impact of the introduction of new practices." Archives of Disease in Childhood - Fetal and Neonatal Edition 96, Supplement 1 (June 1, 2011): Fa77. http://dx.doi.org/10.1136/archdischild.2011.300162.7.

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34

Sessler, Daniel I. "Does Continuous Electronic ST-Segment Monitoring Enhance Prediction of Postoperative Troponin Elevation?" Anesthesia & Analgesia 123, no. 4 (October 2016): 1065. http://dx.doi.org/10.1213/ane.0000000000001464.

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35

McLachlan, GA, JL Cartmill, and R. Barclay. "PL.90 Documentation and Assessment of Continuous Intrapartum Electronic Fetal Heart Monitoring." Archives of Disease in Childhood - Fetal and Neonatal Edition 98, Suppl 1 (April 2013): A79.3—A79. http://dx.doi.org/10.1136/archdischild-2013-303966.272.

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36

Yu, Ling, and Peng Xu. "Structural health monitoring based on continuous ACO method." Microelectronics Reliability 51, no. 2 (February 2011): 270–78. http://dx.doi.org/10.1016/j.microrel.2010.09.011.

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37

Tanaka, Yujiro, Takuro Tajima, Michiko Seyama, and Kayo Waki. "Differential Continuous Wave Photoacoustic Spectroscopy for Non-Invasive Glucose Monitoring." IEEE Sensors Journal 20, no. 8 (April 15, 2020): 4453–58. http://dx.doi.org/10.1109/jsen.2019.2962251.

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38

Wang, Ting-Wei, Wen-Xiang Chen, Hsiao-Wei Chu, and Shien-Fong Lin. "Single-Channel Bioimpedance Measurement for Wearable Continuous Blood Pressure Monitoring." IEEE Transactions on Instrumentation and Measurement 70 (2021): 1–9. http://dx.doi.org/10.1109/tim.2020.3035578.

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39

Shkel, Anton A., and Eun Sok Kim. "Continuous Health Monitoring With Resonant-Microphone-Array-Based Wearable Stethoscope." IEEE Sensors Journal 19, no. 12 (June 15, 2019): 4629–38. http://dx.doi.org/10.1109/jsen.2019.2900713.

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40

Lahdesmaki, Ilkka, Angela Shum, and Babak Parviz. "Possibilities for continuous glucose monitoring by a functional contact lens." IEEE Instrumentation & Measurement Magazine 13, no. 3 (June 2010): 14–17. http://dx.doi.org/10.1109/mim.2010.5475161.

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41

Lorato, Ilde, Sander Stuijk, Mohammed Meftah, Deedee Kommers, Peter Andriessen, Carola van Pul, and Gerard de Haan. "Towards Continuous Camera-Based Respiration Monitoring in Infants." Sensors 21, no. 7 (March 24, 2021): 2268. http://dx.doi.org/10.3390/s21072268.

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Aiming at continuous unobtrusive respiration monitoring, motion robustness is paramount. However, some types of motion can completely hide the respiration information and the detection of these events is required to avoid incorrect rate estimations. Therefore, this work proposes a motion detector optimized to specifically detect severe motion of infants combined with a respiration rate detection strategy based on automatic pixels selection, which proved to be robust to motion of the infants involving head and limbs. A dataset including both thermal and RGB (Red Green Blue) videos was used amounting to a total of 43 h acquired on 17 infants. The method was successfully applied to both RGB and thermal videos and compared to the chest impedance signal. The Mean Absolute Error (MAE) in segments where some motion is present was 1.16 and 1.97 breaths/min higher than the MAE in the ideal moments where the infants were still for testing and validation set, respectively. Overall, the average MAE on the testing and validation set are 3.31 breaths/min and 5.36 breaths/min, using 64.00% and 69.65% of the included video segments (segments containing events such as interventions were excluded based on a manual annotation), respectively. Moreover, we highlight challenges that need to be overcome for continuous camera-based respiration monitoring. The method can be applied to different camera modalities, does not require skin visibility, and is robust to some motion of the infants.

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42

Vicente, Jose Maria, Ernesto Avila-Navarro, Alberto Rodriguez-Martinez, Miguel Angel De la Casa Lillo, and Jose Maria Sabater-Navarro. "NFC2BLE Communications’ Bridge: From Flash to Continuous Monitoring of Biological Parameters." Elektronika ir Elektrotechnika 26, no. 2 (April 25, 2020): 54–58. http://dx.doi.org/10.5755/j01.eie.26.2.25907.

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The devices for monitoring biological variables have become a hot topic in the last years. An important aspect in the design of these wearable devices is the continuous communication, as well as the associated energy consumption. As a result, the concept of flash monitoring has been recently coined. This implies that the reading of the variables is not made in a continuous manner, but the values are stored on the sensor electronics for a while and then retrieved altogether to the reader. This concept reduces the energy consumption since there is no continuous communication, and this feature is, therefore, beneficial in certain contexts. However, the communication is sometimes required to be continuous, so that solutions based on continuous communication or alarms can be implemented. This work shows a technological development that allows converting a biological variable reading system based on flash monitoring into a continuous one. The details of the electronic development of the components are shown, and the software structure integrated in the microcontroller is discussed. The system devoted to the management and remote acquisition of the data is shown as well. As an example, the performance of the system is shown in two different contexts: with a flash biopatch for the body temperature monitoring designed in the laboratory and with a commercially available flash interstitial glucose monitoring system.

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43

Rajamani, Allwyn S., Divagar M, and V. V. R. Sai. "Plastic fiber optic sensor for continuous liquid level monitoring." Sensors and Actuators A: Physical 296 (September 2019): 192–99. http://dx.doi.org/10.1016/j.sna.2019.07.021.

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44

Lai, Yongxuan, Yilong Chen, and Hong Chen. "Continuous monitoring of global events in sensor networks." International Journal of Sensor Networks 7, no. 1/2 (2010): 95. http://dx.doi.org/10.1504/ijsnet.2010.031853.

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45

Rao, Smitha B., Reena D’Souza, Bhavana Sherigar, Soumya R, Vismaya Kaveri, and Anamika Singh. "Admission test as a screening test for fetal distress in labour." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 3 (February 27, 2018): 870. http://dx.doi.org/10.18203/2320-1770.ijrcog20180518.

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Background: This study was undertaken with the purpose of evaluating the efficacy of labour admission test as a screening test to identify the compromised fetus or fetus at risk and to correlate with perinatal outcome.Methods: This was a retrospective cohort study of 300 patients in 1st stage of labour admitted to labour room at tertiary care hospital over a period of one and a half years. Patients with Singleton pregnancy, Cephalic presentation & Gestational age beyond 34 weeks were included in this study. A BPL electronic foetal heart monitor was used to perform the admission test. With the patient in left lateral position a 20 minute continuous electronic recording (paper speed of 3 cm per minute) of foetal heart rate and uterine activity was obtained, on a cardiotocograph.Results: Statistical significance was calculated between different categories for different parameters too. A p value of of<0.05 was considered to be statistically significant. Fetal distress was seen 64.71% in Category III group 33.33% with Category II group and 4.74 % in Category I trace. admission test has 97.75% specificity and 95.5% negative predictive value.Conclusions: Admission test makes screening convenient. Since it is non-invasive, patients also cooperate. Admission test helps to plan subsequent management of labour. It is a good predictor of foetal well-being at the time of admission and for the next few hours.

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46

Buttigieg, George G. "Submitting medico-legal intra-partum CTG (I-P CTG) monitoring to the Bolam and Bolitho principles." Medico-Legal Journal 85, no. 2 (December 13, 2016): 93–96. http://dx.doi.org/10.1177/0025817216683639.

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The article analyses some of the seeming weaknesses of the Bolam and Bolitho tests as applied to electronic foetal monitoring in labour, in the form of intra-partum CTG monitoring. Homing on to such aspects as confirmation of foetal hypoxia/acidosis, it evaluates the Bolam and Bolitho tests in the context of evidence-based medicine versus traditionally held views, which still hold their own in medical jurisprudence. Case law examples are quoted to illustrate various points. The discussion is of practical relevance both to the individual obstetrician as well as to national budgetary implications, bearing in mind, that, for example, in 2011, ‘birth asphyxia’ comprised 50% of the UK NHS litigation costs, and in the 2000–2010 decade, the same NHS forked out £3.1 billion for maternity medico-legal claims (the highest of any speciality), mostly involving cerebral palsy and CTG misinterpretation. The article concludes with suggestions to help level the potential extant equivocity between legal principle and medical practice. It also looks at the ruling in Montgomery v Lanarkshire Health Board, UK Supreme Court, and its challenge to Bolam. The implications pose a serious and overdue challenge to a test, born in 1957 and lacking the necessary qualities to serve many 21st century medical quandaries, including the ones raised here.

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Noh, S., C. Yoon, E. Hyun, H. N. Yoon, T. J. Chung, K. S. Park, and H. C. Kim. "Ferroelectret film‐based patch‐type sensor for continuous blood pressure monitoring." Electronics Letters 50, no. 3 (January 2014): 143–44. http://dx.doi.org/10.1049/el.2013.3715.

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Arnau, A., Y. Jiménez, and T. Sogorb. "Circuit for continuous monitoring of quartz-crystal resonators in sensor applications." Electronics Letters 38, no. 8 (2002): 365. http://dx.doi.org/10.1049/el:20020253.

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Baldini, F., A. Falai, A. R. De Gaudio, D. Landi, A. Lueger, A. Mencaglia, D. Scherr, and W. Trettnak. "Continuous monitoring of gastric carbon dioxide with optical fibres." Sensors and Actuators B: Chemical 90, no. 1-3 (April 2003): 132–38. http://dx.doi.org/10.1016/s0925-4005(03)00042-x.

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Zong, Xianli, and Rong Zhu. "ZnO nanorod-based FET biosensor for continuous glucose monitoring." Sensors and Actuators B: Chemical 255 (February 2018): 2448–53. http://dx.doi.org/10.1016/j.snb.2017.09.037.

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