Domiciliary fetal monitoring via a telephone link has been in clinical use at the Royal Free Hospital for 2 years, during which time 858 traces of 134 patients who were moderately at risk have been transmitted to the hospital. All recognized abnormal heart rate patterns were detected during the study period. In seven patients obstetric intervention took place on the basis of the domiciliary fetal monitoring recording and subsequent hospital monitoring. There were no intrauterine or neonatal deaths, and there was no overall increase in obstetric operative intervention. There appeared to be a significant reduction in the inconvenience suffered by the patient and her family, compared with conventional monitoring. Fetal heart recordings performed solely by the patient were of a high quality and reduced the demand on midwifery resources. To allow this only 3 hours of midwifery time daily was required and no additional demands on obstetric staff were made. It is anticipated that domiciliary fetal monitoring, performed by patients, will become an essential and established service throughout the United Kingdom (and probably Europe) as the principal means of monitoring fetal well-being.
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http://dx.doi.org/10.1016/0002-9378(90)90411-y | DOI Listing |
Arch Dis Child Fetal Neonatal Ed
January 2012
Department of Neonatal Medicine, The Royal Hospital for Sick Children, Yorkhill, Glasgow, UK.
Objective: To determine morbidity, mortality and associated risk factors following patent ductus arteriosus (PDA) ligation in premature infants.
Methods: Retrospective case note audit of premature infants referred to a national paediatric cardiothoracic surgical service (2001-2007) with univariate and multivariate analysis of potential risk factors for mortality and morbidity.
Results: 125 infants were enrolled (median gestational age 26 weeks (IQR 25-27 weeks), median birth weight 840 g (IQR 730-1035 g)).
Annu Int Conf IEEE Eng Med Biol Soc
March 2011
Politecnico di Milano, Dipartimento di Bioingegneria, Piazza Leonardo da Vinci 32, 20133, Italy.
Fetal Heart Rate (FHR) monitoring gives important information about the fetus health state during pregnancy. This paper presents a new prototype for remote fetal monitoring. The device will allow to monitor FHR in a domiciliary context and to send fetal ECG traces to a hospital facility, where clinicians can interpret them.
View Article and Find Full Text PDFArch Dis Child Fetal Neonatal Ed
November 2009
Department of Clinical Science, Intervention and Technology, Karolinska Institutet, B57 Karolinska University Hospital Huddinge, 141 86 Stockholm, Sweden.
Background: Moderately preterm infants account for a large proportion of admissions and bed-days in neonatal units (NU). Management of these infants varies and determinants of length of stay are poorly studied.
Objective: To determine postmenstrual age at hospital discharge for moderately preterm infants and its relation to perinatal risk factors and to organisation of care.
Semin Fetal Neonatal Med
December 2008
University of Calgary, Calgary, Canada.
Every year, an estimated 4 million newborn infants die worldwide in the first 4 weeks of life. A large majority of these deaths occurs during the first day of life. One of the United Nations' eight Millennium Development Goals is to decrease child mortality; prevention of neonatal deaths by appropriate resuscitation will have a significant impact on achieving this goal.
View Article and Find Full Text PDFSemin Fetal Neonatal Med
June 2007
Perinatal Medicine and Child Health, University of Bristol, Southmead Hospital, Bristol BS10 5NB, UK.
Slow but steady progress in the medical care of mothers and their infants during the 16th-19th centuries received a setback early in the 20th century following a shift of focus from the baby towards gynaecological surgery. The development of paediatrics after 1928 and the formation of a national health service in 1948 led to a renewed interest in the fetus and newborn infant. Special care baby units (SBCUs) were created in the 1960s.
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