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Labor and delivery can rapidly change from a normal to a potentially high risk situation. Accordingly, careful monitoring of mother and fetus has become the standard of care. Continuous electronic "fetal" monitoring (EFM) of fetal heart rates and uterine contractions is used almost universally in the United States. EFM information is sensitive to the possibility of dangerous deficits in fetal oxygen supply. However EFM data yields about 50 to 60% false positive "diagnoses" of significant fetal hypoxia (1) and may not detect up to 15-20% of true hypoxia. The most specific index of prolonged and potentially dangerous insufficient oxygen delivery is fetal blood pH (BpH); measured from drops of blood carefully collected from a small incision on the fetal scalp. The combination of BpH and EFM data reduces the incidence of false positives, while also improving detection of true problems. These combined data can be used to substantially reduce the Cesarean section rate for fetal distress (1-4). It is estimated that BpH information may be clinically important in up to 25% of patients (3,5).

CONTINUOUS INTRAPARTUM FETAL SCALP TISSUE pH AND ECG MONITORING BY A FIBEROPTIC PROBE