European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 136, Issue 2 , Pages 160-164 , February 2008

The reliability of fetal pulse oximetry: The effect of fetal oxygen saturation below 30% on perinatal outcome

  • István Kis Csitári

      Affiliations

    • Department of Obstetrics and Gynecology, Szent Lázár County Hospital, Salgótarján, Hungary
    • ,
  • Ágoston Pasztuhov

      Affiliations

    • Department of Obstetrics and Gynecology, Szent Lázár County Hospital, Salgótarján, Hungary
    • ,
  • Ádám László

      Affiliations

    • Department of Obstetrics and Gynecology, Bajcsy-Zsilinszky Hospital, Maglódi út 89-91, Budapest 1106, Hungary
    • Corresponding Author InformationCorresponding author. Tel.: +36 1 432 7724; fax: +36 1 432 7724.

Received 26 January 2006 ,Revised 12 February 2007 ,Accepted 12 February 2007.

References 

  1. Saling E. Fetal pulse oximetry during labor: issues and recommendations for clinical use. J Perinat Med. 1996;24:467–478
  2. Garite TJ, Dildy GA, McNamara H, et al. A multicenter controlled trial of fetal pulse oximetry in the intrapartum management of nonreassuring fetal heart rate patterns. Am J Obstet Gynecol. 2000;183:1049–1058
  3. Luttkus AK, Friedmann W, Thomas S, Dimer JA, Dudenhausen JW. The safety of fetal pulse oximetry in parturients requiring fetal scalp blood sampling. Obstet Gynecol. 1997;90:533–537
  4. Kühnert M, Schmidt S. Intrapartum management of nonreassuring fetal heart rate patterns: a randomized controlled trial of fetal oximetry. Am J Obstet Gynecol. 2004;191:1989–1995
  5. Carbonne B, Langer B, Goffinet F, et al. Multicenter study on the clinical value of fetal pulse oximetry. II. Compared predictive values of pulse oximetry and fetal blood analysis. Am J Obstet Gynecol. 1997;177:593–598
  6. Dildy GA, Thorp J, Yeast J, Clark SL. The relationship between oxygen saturation and pH in umbilical blood: implications for intrapartum fetal oxygen saturation monitoring. Am J Obstet Gynecol. 1996;175:682–687
  7. Dildy GA, Clark SL, Loucks CA. Intrapartum fetal pulse oximetry: past, present, and future. Am J Obstet Gynecol. 1996;175:1–9
  8. Seelbach-Göbel B, Heupel M, Kühnert M, Butterwegge M. The prediction of fetal acidosis by means of intrapartum fetal pulse oximetry. Am J Obstet Gynecol. 1999;180:73–81
  9. Kühnert M, Seelbach-Golbel B, Butterwegge M. Predictive agreement between the fetal arterial oxygen saturation and fetal scalp pH: results of the German multicenter study. Am J Obstet Gynecol. 1998;178:330–335
  10. Nijland R, Jongsma H, Nijhuis J, van den Berg P, Oeseburg B. Arterial oxygen saturation in relation to metabolic acidosis in fetal lambs. Am J Obstet Gynecol. 1995;172:610–619
  11. Gorenberg DM, Pattillo C, Hendi P, Rumney PJ, Garite TJ. Fetal pulse oximetry: correlation between oxygen desaturation, duration, and frequency and neonatal outcomes. Am J Obstet Gynecol. 2003;189:136–138
  12. Swedlow DB. Review of evidence for a fetal SpO2 critical threshold of 30%. Nellcor Puritan Bennett Perinatal Note. 1997;2:1–9
  13. Bloom SL, Swindle RG, McIntire DD, Leveno KJ. Fetal pulse oximetry: duration of desaturation and intrapartum outcome. Obstet Gynecol. 1999;93:1036–1040
  14. East CE, Dunster KR, Colditz PB, Nath CE, Earl JW. Fetal oxygen saturation during labour: an analysis of 118 cases. Aust N Z J Obstet Gynaecol. 1997;37:397–401
  15. Butterwegge M. Fetal pulse oximetry and non-reassuring heart rate. Eur J Obstet Gynecol Reprod Biol. 1997;(Suppl. 1):63–66
  16. Puertas A, Navarro M, Velasco P, Montoya F, Miranda JA. Intrapartum fetal pulse oximetry and fetal heart rate decelerations. Int J Gynecol Obstet. 2004;85:12–17

PII: S0301-2115(07)00130-3

doi: 10.1016/j.ejogrb.2007.02.021

European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 136, Issue 2 , Pages 160-164 , February 2008

Article Tools