Open AccessWhat is the gold standard for intrapartum fetal monitoring?
Author(s) -
YLI BRANKA M.,
KESSLER JØRG,
EIKELAND TORUNN,
HUSTAD BERIT LUNDEN,
DRAGNES WINNIE,
HENRIKSEN TORE
Publication year - 2012
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/j.1600-0412.2012.01475.x
Subject(s) - medicine , fetal monitoring , gold standard (test) , norwegian , health technology , work (physics) , data collection , pregnancy , health care , fetus , mechanical engineering , linguistics , genetics , philosophy , statistics , mathematics , engineering , economics , biology , economic growth
The health authorities of Stockholm county recently published a Health Technology Assessment report: “Fetal monitoring with computerized STAN analysis during labor – a systematic review” with the aim to ensure that high quality research information on costs, effectiveness and broader impact of health technologies is analysed and presented in the most efficient way for those who use, manage and work in this field. The report claims to analyse available research in relation to ST interval analysis of fetal electrocardiogram (STAN) and concludes that scientific evidence for advantages of the STAN technology for maternal and fetal outcome was insufficient and that clinical use cannot be recommended and should be restricted to research protocols. The Norwegian reference group for fetal surveillance points out that the report suffers from two insufficiencies: selection bias by not providing a complete collection of the evidence for the clinical performance of the STAN technology and, secondly, that it does not provide evidence‐based alternative methods.