Clinic analysis on 2611 cases with continuous central fetal monito-ring during total labor course

Abstract

Objective To discuss the role of continuous central fetal monitoring in early detection of fe-tal distress and prevention from neonatal asphyxia, and its effect upon delivery outcome. Methods 2 611 puerp-erants who had a delivery in our hospital during Jan. to Dec. 2008 were chosen as the observation group, while 2 671 puerporants who had a delivery in our hospital during Jan. to Dec. 2004 as the control group. The incidences of fetal distress, neonatal asphyxia, cesarean section, and virginal surgical delivery were compared between the two groups. Results The incidence of fetal distress was 4.83% in observation group and 5.02% in control group, neonatal asphyxia 0. 92% and 1.34%, cesarean section 54.92% and 51.63%, and virginal surgical delivery 0.94% and 0.94%. Conclusions Continuous fetal monitoring significantly reduces the incidence of severe neo-natal asphyxia, however, the incidence of cesarean section is increased correspondingly. Key words: Labor course; Continuous fetal monitoring; Neonatal asphyxia; Delivery pattern