使用无线经腹胎儿心电图和子宫电图进行分娩时心脏造影的可接受性：一项前瞻性队列研究

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2025-04-09 DOI:10.1016/j.ejogrb.2025.113955

Catarina Reis-de-Carvalho , Maria Carvalho-Afonso , Cristiana Marinho-Soares , Inês David , Diogo Ayres-de-Campos

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引用次数: 0

摘要

目的比较无线经腹胎儿心电图（TAfECG）加子宫电图（EH）与常规无线经腹胎儿心电图加多普勒超声（US）加子宫动力学仪（TOCO）的产时心电监护（CTG）与医护人员的可接受程度。方法：这是一项前瞻性观察研究，于2023年1月至6月在一家三级保健大学医院进行。对264例足月单胎妊娠、头位分娩、年龄大于18岁、采用无线TAfECG + EH或US + TOCO进行无线CTG监测的产妇进行评估。在产后早期给所有参与者一个10分的李克特患者满意度问卷。第二份问卷评估了264名医疗保健专业人员对这两种方法的意见。结果妇女报告TAfECG + EH在使用的舒适性、活动的轻松和自由、皮肤刺激和分娩休息能力方面的满意度得分更高。医疗保健专业人员报告了TAfECG + EH在患者应用期间的舒适度、活动时的信号损失、易于解释收缩信号和易于解释第一阶段FHR信号方面的更有利评价。相反，人们发现该技术更难应用，并且需要更多时间才能获得可解释的FHR信号。在医疗保健专业人员对该方法获得更多经验后，对这些方面的评价更为有利(p <；0.0001)。女性向他人推荐该技术的可能性在TAfECG + EH（81.2%）和US + TOCO（81.1%）之间相似。TAfECG + EH组和US + TOCO组分别有33.8%和9.1%的患者改变了CTG获取方式。结论TAfECG + EH无线CTG监测被产妇和医护人员所接受，被认为比US + TOCO更舒适，并允许更大的活动。然而，在大约三分之一的情况下，它需要在分娩期间改变为另一种获取方法。

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Acceptability of intrapartum cardiotocography using wireless transabdominal fetal ECG and electrohysterography: A prospective cohort

Aim

To compare patient and staff acceptability of intrapartum cardiotocographic (CTG) monitoring using wireless transabdominal fetal ECG (TAfECG) plus electrohysterography (EH) with conventional wireless CTG, using Doppler ultrasound (US) and tocodynamometry (TOCO).

Methods

This was a prospective observational study, carried out in a tertiary care university hospital, between January and June 2023. A total of 264 labouring women with singleton pregnancies at term, in cephalic presentation, and more than 18 years of age, undergoing wireless CTG monitoring with wireless TAfECG + EH or US + TOCO were evaluated. A 10-point Likert scale patient satisfaction questionnaire was given to all participants in the early postpartum period. A second questionnaire evaluated 264 opinions of healthcare professionals regarding the two methods.

Results

Women reported more favourable satisfaction scores with TAfECG + EH regarding comfort of use, ease and freedom of movement, skin irritation, and ability to rest in labour. Healthcare professionals reported a more favourable evaluation of TAfECG + EH regarding patient comfort during application, signal loss with mobility, ease of interpretation of contraction signals, and ease of interpretation of FHR signals in the 1st stage. Conversely, this technology was found to be more difficult to apply and to take more time to obtain an interpretable FHR signal. These aspects were evaluated more favourably after healthcare professionals had gained more experience with the method (p < 0.0001). The likelihood of women recommending the technique to others was similar between TAfECG + EH (81.2 %) and US + TOCO (81.1 %). Changing the CTG acquisition method occurred in 33.8 % of TAfECG + EH group and 9.1 % of US + TOCO group.

Conclusions

Wireless CTG monitoring with TAfECG + EH is well accepted by both labouring women and healthcare professionals, it is judged to be more comfortable for women than US + TOCO, and to allow greater mobility. However, in about a third of the cases it needs to be changed to another acquisition method during labour.

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来源期刊

European journal of obstetrics, gynecology, and reproductive biology 医学-妇产科学

CiteScore

4.60

自引率

3.80%

发文量

898

审稿时长

8.3 weeks

期刊介绍： The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.