Academic Journal
International expert consensus statement on physiological interpretation of cardiotocograph (CTG): First revision (2024): First revision (2024)
| Τίτλος: | International expert consensus statement on physiological interpretation of cardiotocograph (CTG): First revision (2024): First revision (2024) |
|---|---|
| Συγγραφείς: | Chandraharan, Edwin, Pereira, Susana, Ghi, Tullio, Gracia Perez-Bonfils, Anna, Fieni, Stefania, Jia, Yan Ju, Griffiths, Katherine, Sukumaran, Suganya, Ingram, Caron, Reeves, Katharine, Bolten, Mareike, Loser, Katrine, Carreras, Elena, Suy, Anna, Garcia-Ruiz, Itziar, Galli, Letizia, Zaima, Ahmed |
| Συνεισφορές: | Institut Català de la Salut, [Chandraharan E] Global Academy of Medical Education & Training, London, UK. [Pereira S] Consultant in Maternal-Fetal Medicine & Clinical Director, The Royal London Hospital, Barts Health NHS Trust, London, UK. [Ghi T] Department of Medicine and Surgery, University of Parma, Italy. [Gracia Perez-Bonfils A] Consultant Obstetrician & Labour Ward Consultant, Germans Trias i Pujol, Barcelona, Spain. [Fieni S] Unit of Obstetrics and Gynecology, University Hospital of Parma, Parma, Italy. [Jia YJ] Department of Obstetrics, Tianjin Central Hospital of Obstetrics and Gynaecology, Tianjin Key Laboratory of Human Development and Reproductive Regulation, Tianjin, China. [Carreras E] Unitat de Medicina Fetal, Servei d’Obstetrícia, Vall d’Hebron Hospital Universitari, Spain. Universitat de Vic-Universitat Central de Catalunya, Spain. [Suy A, Garcia-Ruiz I] Unitat de Medicina Fetal, Servei d’Obstetrícia, Vall d’Hebron Hospital Universitari, Spain, Vall d'Hebron Barcelona Hospital Campus |
| Πηγή: | Scientia Scientia. Dipòsit d'Informació Digital del Departament de Salut instname |
| Στοιχεία εκδότη: | Elsevier BV, 2024. |
| Έτος έκδοσης: | 2024 |
| Θεματικοί όροι: | Consensus, Cardiotocography, Decisió de grup, Embaràs, PHENOMENA AND PROCESSES::Circulatory and Respiratory Physiological Phenomena::Cardiovascular Physiological Phenomena::Hemodynamics::Heart Rate::Heart Rate, Fetal, Relative utero-placental insufficiency of labour (RUP-L), Fetal Hypoxia, TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::técnicas diagnósticas cardiovasculares::pruebas de función cardíaca::cardiotocografía, Cor - Batecs, Pregnancy, FENÓMENOS Y PROCESOS::fenómenos fisiológicos reproductivos y urinarios::fenómenos fisiológicos de la reproducción::reproducción::embarazo, Humans, Fetal heart rate cycling, ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Cardiovascular::Heart Function Tests::Cardiotocography, PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::psicología social::procesos de grupo::consenso, ZigZag Pattern, PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus, FENÓMENOS Y PROCESOS::fenómenos fisiológicos respiratorios y circulatorios::fenómenos fisiológicos cardiovasculares::hemodinámica::frecuencia cardíaca::frecuencia cardíaca fetal, Suggestive of Fetal Inflammation (SOFI), Cor - Proves funcionals, Heart Rate, Fetal, PHENOMENA AND PROCESSES::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproduction::Pregnancy, Monitoratge fetal, Chorioamnionitis, Cardiotocograph (CTG), How is THIS Fetus?, Female |
| Περιγραφή: | The first international consensus guideline on physiological interpretation of cardiotocograph (CTG) produced by 44 CTG experts from 14 countries was published in 2018. This guideline ensured a paradigm shift from classifying CTG by arbitrarily grouping certain features of the fetal heart rate into different "categories", and then, randomly combining them to arrive at an overall classification of CTG traces into "Normal, Suspicious and Pathological" (or Category I, II and III) to a classification which is based on the understanding of fetal pathophysiology. The guideline recommended the recognition of different types of fetal hypoxia, and the determination of features of fetal compensatory responses as well as decompensation to ongoing hypoxic stress on the CTG trace. Since its first publication in 2018, there have been several scientific publications relating physiological interpretation of CTG, especially relating to features indicative of autonomic instability due to hypoxic stress (i.e., the ZigZag pattern), and of fetal inflammation. Moreover, emerging evidence has suggested improvement in maternal and perinatal outcomes in maternity units which had implemented physiological interpretation of CTG. Therefore, the guideline on Physiological Interpretation of CTG has been revised to incorporate new scientific evidence, and the interpretation table has been expanded to include features of chorioamnionitis and relative utero-placental insufficiency of labour (RUPI-L). |
| Τύπος εγγράφου: | Article |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English |
| ISSN: | 0301-2115 |
| DOI: | 10.1016/j.ejogrb.2024.09.034 |
| Σύνδεσμος πρόσβασης: | https://pubmed.ncbi.nlm.nih.gov/39378709 https://hdl.handle.net/11351/12232 |
| Rights: | CC BY |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....96aef7a417ee63d12e28e3ac22c2ca88 |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 03012115 |
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| DOI: | 10.1016/j.ejogrb.2024.09.034 |