Intrapartum fetal monitoring practices in Norway: A population-based study

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-07-06 DOI:10.1016/j.srhc.2024.101006

Kristin Jerve Aanstad , Are Hugo Pripp , Rebecka Dalbye , Aase Devold Pay , Anne Cathrine Staff , Anne Kaasen , Ellen Blix

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引用次数: 0

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), 46 214 (46%) with only CTG, and 33 417 (34%) with IA and CTG combined. Four percent (2 067/50 533) of women with risk factors were monitored with IA only. Half (10 589/21 282) 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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挪威的产前胎儿监护实践：一项基于人口的研究。

挪威描述2019-2020年挪威所有分娩中使用的产前胎儿监护方法，评估国家指南的遵守情况，调查产妇风险状况的差异，并探讨影响监护方法的相关因素：方法：这是一项基于人口的全国性研究。我们从挪威出生医学登记处收集了2019-2020年间胎龄≥22周的所有孕妇的数据。我们采用描述性分析，根据风险状况进行分层，研究了所有分娩中使用的胎儿监护方法。我们使用单变量和多变量逻辑回归模型来确定在低风险顺产中使用心脏排卵造影（CTG）监测的相关因素：共有 14 285 例（14%）分娩仅使用间歇性听诊（IA）监测，46214 例（46%）仅使用 CTG 监测，33417 例（34%）使用 IA 和 CTG 联合监测。4%（2 067/50 533）有风险因素的产妇只接受了 IA 监测。半数（10589/21 282）顺产的低危产妇接受了 CTG 监测。产妇和胎儿的特征、产房的规模和地区惯例影响了 CTG 监测在这一群体中的使用：大多数产妇仅使用 CTG 或结合 IA 进行监测。尽管国家指南建议使用 IA，但半数低危妊娠和顺产产妇使用 CTG 监测。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.