Admission cardiotocography versus intermittent auscultation of fetal heart rate

dc.contributor.author	Γουρουντή, Κλεάνθη	el
dc.contributor.author	Sandall, Jane	en
dc.date.accessioned	2015-05-18T16:11:57Z
dc.date.issued	2015-05-18
dc.identifier.uri	http://hdl.handle.net/11400/10671
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	http://www.sciencedirect.com/science/journal/00207489	en
dc.subject	Midwifery
dc.subject	Intrapartum admission cardiotocography
dc.subject	Intermittent auscultation
dc.subject	Apgar score
dc.subject	Cesarean section
dc.subject	Instrumental delivery
dc.subject	Women at low obstetric risk
dc.subject	Meta-analysis
dc.subject	Μαιευτική
dc.subject	Εισαγωγή καρδιοτοκογραφίας στον τοκετό
dc.subject	Διαλείπουσα ακρόαση
dc.subject	Βαθμολογία Apgar
dc.subject	Καισαρική τομή
dc.subject	Υποβοηθούμενος τοκετός
dc.subject	Γυναίκες με χαμηλό μαιευτικό κίνδυνο
dc.subject	Μετα-ανάλυση
dc.title	Admission cardiotocography versus intermittent auscultation of fetal heart rate	en
heal.type	journalArticle
heal.secondaryTitle	effects on neonatal Apgar score, on the rate of caesarean sections and on the rate of instrumental delivery: a systematic review	en
heal.classification	Medicine
heal.classification	Gynecology
heal.classification	Ιατρική
heal.classification	Γυναικολογία
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh00006614
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh85058092
heal.classificationURI	N/A-Ιατρική
heal.classificationURI	N/A-Γυναικολογία
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh96006072
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh85005946
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh85022196
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh85084006
heal.identifier.secondary	DOI: 10.1016/j.ijnurstu.2006.06.002
heal.dateAvailable	10000-01-01
heal.language	en
heal.access	forever
heal.recordProvider	Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Μαιευτικής	el
heal.publicationDate	2007-08
heal.bibliographicCitation	Gourounti, K. & Sandall, J. (2007) Admission cardiotocography versus intermittent auscultation of fetal heart rate: effects on neonatal Apgar score, on the rate of caesarean sections and on the rate of instrumental delivery: a systematic review. "International Journal of Nursing Studies", 44 (6). p. 1029-1035. Available from: http://www.sciencedirect.com/science/article/pii/S0020748906001945 [Accessed: 18/05/2015].	en
heal.abstract	Objective: The aim of this review was to determine whether intrapartum admission cardiotocography (CTG) in women at low obstetric risk can improve neonatal outcome (in terms of Apgar score) and whether it is associated with an increase in the incidence of instrumental delivery and caesarean section. Review methods: The Cochrane Library, Medline (1966–November 2005), Embase (1980–November 2005) and the PubMed were searched for randomized control trials and systematic reviews of randomized control trials. Studies were assessed for quality. Outcomes considered the neonatal Apgar score at 5 min after delivery, caesarean section and instrumental delivery. A meta-analysis of the results of the randomized controlled trials was performed. Results: The pooled relative risk for having an Apgar score less than 7 points at 5 min after delivery was higher in the admission CTG group (RR 1.35, 95% CI 0.85–2.13) but it was not statistically significant. The pooled relative risks for having a caesarean section-delivery (RR 1.2 95% CI 1.00–1.41) and an instrumental delivery (RR 1.1 95% CI 1.00–1.18) were both higher in the admission CTG group. Both these were statistically significant. Conclusion: Intrapartum admission cardiotocography in women at low obstetric risk increases the risk of caesarean section and instrumental delivery. In addition, there is no evidence for neonatal benefit in terms of Apgar score at 5 min after delivery. A larger sample size would be needed in order to answer this important question.	en
heal.publisher	Norman, Ian	en
heal.journalName	International Journal of Nursing Studies	en
heal.journalType	peer-reviewed
heal.fullTextAvailability	false