{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T21:46:19Z","timestamp":1781732779683,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,1,14]],"date-time":"2013-01-14T00:00:00Z","timestamp":1358121600000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the clinical use of ST analysis (STAN) for intrapartum monitoring of high\u2010risk pregnancies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University hospital, Norway, 2004\u20132008.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Singleton pregnancies with a gestational age above 35<jats:sup>+6<\/jats:sup> weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Analysis of maternal and neonatal outcomes for all deliveries according to the method of intrapartum monitoring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Prevalence of cord metabolic acidosis (pH\u00a0&lt;\u00a07.05, extracellular fluid base deficit (extracellular fluid) &gt;12 mmol\/L).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 23 203 deliveries, 6010 (25.9%) were monitored with STAN. Fetal blood sampling was performed in 146 (2.4%) of the 6010 cases. During the study period, the prevalence of cord metabolic acidosis and moderate cord acidosis (pH\u00a0&lt;\u00a07.15) decreased in STAN\u2010monitored deliveries from 1.4 to 0.3% (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.01) and from 16.4 to 11.7% (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001), respectively. The prevalence of moderate and severe neonatal encephalopathy was 0.38%. In the birth population, the proportion of cesarean deliveries decreased from 10.1 to 8.8%. The risk of emergency cesarean section after STAN monitoring compared with those monitored with auscultation\/cardiotocography was high (odds ratio 5.4, 95% confidence interval\u00a0=\u00a04.9\u20136.1) but remained stable during the study period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ST analysis is a useful tool for identification of fetuses at risk of intrapartum hypoxia. Despite the restricted use of fetal blood sampling, we found a low proportion of cord metabolic acidosis and newborn morbidity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1600-0412.2012.01528.x","type":"journal-article","created":{"date-parts":[[2012,8,16]],"date-time":"2012-08-16T21:31:08Z","timestamp":1345152668000},"page":"75-84","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Intrapartum monitoring of high\u2010risk deliveries with ST analysis of the fetal electrocardiogram: an observational study of 6010 deliveries"],"prefix":"10.1111","volume":"92","author":[{"given":"J\u00d6RG","family":"KESSLER","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DAG","family":"MOSTER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SUSANNE","family":"ALBRECHTSEN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,14]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199603073341001"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(67)90515-7"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1983.tb09322.x"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1992.tb13874.x"},{"issue":"4","key":"e_1_2_10_6_2","first-page":"CD000116","article-title":"Fetal electrocardiogram (ECG) for fetal monitoring during labour","author":"Neilson JP","year":"2012","journal-title":"Cochrane Database Syst Rev."},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31823d8230"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)90120-5"},{"key":"e_1_2_10_9_2","unstructured":"Sundstr\u00f6mAK Ros\u00e9nD Ros\u00e9nKG. 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