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Intrapartum fetal monitoring practices in Norway: A population-based study.
Aanstad, Kristin Jerve; Pripp, Are Hugo; Dalbye, Rebecka; Pay, Aase Devold; Staff, Anne Cathrine; Kaasen, Anne; Blix, Ellen.
Afiliación
  • Aanstad KJ; Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway; Division of Obstetrics and Gynaecology, Oslo University Hospital, Oslo, Norway.
  • Pripp AH; Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway; Oslo Centre of Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.
  • Dalbye R; Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway; Department of Gynaecology and Obstetrics, Østfold Hospital Trust, Grålum, Norway.
  • Pay AD; Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway; Department og Gynecology and Obstetrics, Vestre Viken Hospital Trust, Bærum, Norway.
  • Staff AC; Division of Obstetrics and Gynaecology, Oslo University Hospital, Oslo, Norway; Faculty of Medicine, University of Oslo, Oslo, Norway.
  • Kaasen A; Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
  • Blix E; Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway. Electronic address: ellblx@oslomet.no.
Sex Reprod Healthc ; 41: 101006, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38986340
ABSTRACT

OBJECTIVE:

To describe intrapartum fetal monitoring methods used in all births in Norway in 2019-2020, assess adherence to national guidelines, investigate variation by women's risk status, and explore associations influencing monitoring practices.

METHODS:

A nationwide population-based study. We collected data about all pregnancies with a gestational age ≥ 22 weeks during 2019-2020 from the Medical Birth Registry of Norway. We used descriptive analyses, stratified for risk status, to examine fetal monitoring methods used in all deliveries. Univariable and multivariable logistic regression models were used to determine factors associated with monitoring with cardiotocography (CTG) in low-risk, straightforward births.

RESULTS:

In total, 14 285 (14%) deliveries were monitored with only intermittent auscultation (IA), 46214 (46%) with only CTG, and 33417 (34%) with IA and CTG combined. Four percent (2 067/50 533) of women with risk factors were monitored with IA only. Half (10589/21 282) of the low-risk women with straightforward births were monitored with CTG. Maternal and fetal characteristics, size of the birth unit and regional practices influenced use of CTG monitoring in this group.

CONCLUSIONS:

Most births are monitored with CTG only, or combined with IA. Half the women with low-risk pregnancies and straightforward births were monitored with CTG although national guidelines recommending IA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cardiotocografía / Adhesión a Directriz / Monitoreo Fetal Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Sex Reprod Healthc Asunto de la revista: ENFERMAGEM / MEDICINA REPRODUTIVA / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cardiotocografía / Adhesión a Directriz / Monitoreo Fetal Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Sex Reprod Healthc Asunto de la revista: ENFERMAGEM / MEDICINA REPRODUTIVA / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Países Bajos