Fetal cardiotocography in childbirth

DOI

https://dx.doi.org/10.18565/aig.2023.21

Istomina N.G., Baranov A.N., Dolidze M.Yu.
Northern State Medical University, Ministry of Health of the Russian Federation, Arkhangelsk, Russia

The fetal status during childbirth may be assessed analyzing the patterns of fetal cardiac rhythm. Despite the wide use of the method, interpretation of cardiotocography (CTG) remains controversial due to the absence of significant differences in the number of cerebral palsy diagnoses, infant deaths, and other standard assessments of neonatal well-being as compared to periodic auscultation. The paper considers modern ideas on the pathophysiological processes determining the main patterns of CTG and a new concept CTG assessment in childbirth.
Conclusion: Changing ideas on the pathophysiological mechanism underlying in the interpretation of CTG will be able to formulate a new approach that is more sensitive to the degree of fetal hypoxic changes and will increase its informative value.

Authors’ contributions: Istomina N.G. – concept and design of the review; Istomina N.G., Dolidze M.Yu. – writing the text; Baranov A.N. – editing.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
For citation: Istomina N.G., Baranov A.N., Dolidze M.Yu. Fetal cardiotocography in childbirth.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (6): 24-28 (in Russian)
https://dx.doi.org/10.18565/aig.2023.21

cardiotocography

fetal hypoxia in childbirth

deceleration

Full text (in Russian)

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Received 27.01.2023

Accepted 06.04.2023

Natalia G. Istomina, PhD, Associate Professor, Department of Obstetrics and Gynecology, Ob/Gyn Dept., Northern State Medical University, Ministry of Health of Russia, nataly.istomina@gmail.com, 163000, Russia, Arkhangelsk, Troitsky pr., 51.
Alexey N. Baranov, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology, Northern State Medical University, Ministry of Health of Russia,
163000, Russia, Arkhangelsk, Troitsky pr., 51.
Maria Yu. Dolidze, Teaching Assistant, Department of Obstetrics and Gynecology, Northern State Medical University, Ministry of Health of Russia,
163000, Russia, Arkhangelsk, Troitsky pr., 51.

Fetal cardiotocography in childbirth

Istomina N.G., Baranov A.N., Dolidze M.Yu.

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