Encuesta SEGO. Control del feto de bajo riesgo durante el embarazo y el parto en los hospitales españoles

Abstract

ObjectiveTo determine how low-risk fetuses are monitored during the last few weeks of pregnancy and labor in Spanish hospitals. MethodAn electronic survey on the management of low-risk fetuses was conducted under the aegis of the Spanish Society of Obstetrics and Gynecology in 31 public hospitals and in 5 private hospitals. ResultsDuring pregnancy, a non-stress test (NST) was used in 34 hospitals and the abbreviated biophysical profile was used in 5.6%. When a non-reassuring fetal pattern was found, the abbreviated biophysical profile was used in 10 hospitals, fetal Doppler in four and amnioscopy in three.During labor, all hospitals performed cardiotocographic monitoring (CTG), which was continuous in 83.3% and through windows in the remainder. When the results of CTG were non-reassuring, pulse-oximetry was used in five centers, ST space analysis (STAM) in three and fetal Doppler in a further three. Microtome and umbilical artery pH sampling were performed in 69.4% of hospitals. ConclusionNST is the preferred test for fetal monitoring in the last few weeks of pregnancy. During labor, CTG is currently used, and only 69.4% of centers use microtome when a non-reassuring CTG pattern is observed.