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Changes in the <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content> segment have been shown to correlate with fetal condition, in particular with acid\u2013base status. Meta\u2010analysis of randomized trials (five in total, four using the computerized system) has shown that use of computerized <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content> segment analysis (<jats:styled-content style=\"fixed-case\">STAN<\/jats:styled-content>) reduces the need for fetal blood sampling by about 40%. However, although there are trends to lower rates of low Apgar scores and acidosis, the differences are not statistically significant. There is no effect on cesarean section rates. Disadvantages include the need for amniotic membranes to be ruptured so that a fetal scalp electrode can be applied, and the need for <jats:styled-content style=\"fixed-case\">STAN<\/jats:styled-content> values to be interpreted in conjunction with detailed fetal heart rate pattern analysis.<\/jats:p>","DOI":"10.1111\/aogs.12369","type":"journal-article","created":{"date-parts":[[2014,3,5]],"date-time":"2014-03-05T14:52:39Z","timestamp":1394031159000},"page":"533-538","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Scientific and clinical evidence for the use of fetal ECG ST segment analysis (STAN)"],"prefix":"10.1111","volume":"93","author":[{"given":"Philip J.","family":"Steer","sequence":"first","affiliation":[{"name":"Academic Department of Obstetrics and Gynecology Division of Cancer Chelsea and Westminster Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lone Egly","family":"Hvidman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4,15]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"811","article-title":"Uber die direkte Ableitung der Akonsstrome des menschlichen Herzens vom Oesophagus, and uber das Elektrokardiogramm des fotus. 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