New technologies for managing labor / Dan Farine (ed.).

Format:

Book

Contributor:

Farine, D. (Dan), editor.

ebrary, Inc.

Rosengarten Family Fund.

Series:

Hot topics in perinatal medicine ; 3.

Hot topics in perinatal medicine ; volume 3

Language:

English

Subjects (All):

Labor (Obstetrics).

Labor, Obstetric.

Medical Subjects:

Labor, Obstetric.

Physical Description:

1 online resource (xvii, 118 pages) : illustrations (chiefly color.

Place of Publication:

Berlin ; Boston : De Gruyter, [2015]

System Details:

text file

Contents:

1 The history of new devices and technology on the labor floor / Richard Horgan Horgan, Richard, Dan Farine Farine, Dan 1

1.1 Attendance in labor 1

1.2 Labor assistance versus labor floors 1

1.3 Forceps and vacuum 3

1.4 Cesarean delivery 4

1.5 Analgesia 4

1.6 Recent technologies used or experimented in labor and delivery 4

1.7 Intermittent auscultation and electronic fetal heart rate monitoring 5

1.8 Fetal scalp blood sampling 6

1.8.1 PH 6

1.8.2 Lactate 6

1.9 Fetal acoustic stimulation 7

1.10 Fetal pain stimulation 7

1.11 Pulse oximetry 8

Bibliography 8

2 Electrical uterine activity monitoring: when physiology meets clinical setup / Hadar Rosen Rosen, Hadar, Yanv Yogev Yogev, Yanv 11

2.1 Introduction 11

2.2 Physiological basis 12

2.3 Preclinical data 13

2.4 Clinical application 13

2.4.1 Electrical uterine activity monitoring compared with Intrauterine pressure catheter 13

2.4.2 Electrical uterine activity monitoring and preterm labor 15

2.4.3 Electrical uterine activity monitoring for assessment of preterm labor treatment 16

2.4.4 Electrical uterine activity monitoring during labor and delivery 17

2.4.5 The impact of epidural anesthesia on electrical uterine activity 17

2.4.6 Assessment of labor progression by electrical uterine activity monitoring 18

2.4.7 Effect of artificial rupture of membranes on electrical uterine activity 18

2.4.8 Electrical uterine activity monitoring in patients in obese patients 18

2.4.9 Electrical uterine activity monitoring during the third stage of labor 19

2.4.10 Electrical uterine activity monitoring and labor induction 19

2.5 Summary 20

Bibliography 20

3 A novel automatic birth monitoring method and system / Drorith Hochner-Celnikier Hochner-Celnikier, Drorith, Simon S. Cohen Cohen, Simon S. 23

3.1 Introduction 23

3.2 Material 23

3.3 Clinical experience 26

3.4 Summary 28

Bibliography 29

4 An ultrasonic real-time assessment of labor progress / Brianne Bimson Bimson, Brianne, Barak Rosenn Rosenn, Barak 31

4.1 Introduction 31

4.2 The limitation of our fingers in assessing dilatation, descent, effacement, and position 31

4.2.1 Dilatation 31

4.2.2 Head station 32

4.2.3 Head position 32

4.2.4 Progress of labor 33

4.3 Labor technology 34

4.4 The Barnev cervicometer 35

4.4.1 Safety 38

4.4.2 Use 38

4.4.3 Benefits 40

4.4.4 Limitations 40

4.5 Summary 40

Bibliography 41

5 The LaborPro System: non-invasive, ultrasound-based determination of labor parameters / Yoav Paltieli Paltieli, Yoav, Rami Sammour Sammour, Rami 43

5.1 Overview 43

5.2 LaborPro system 44

5.2.1 Description 44

5.2.2 Principles of operation 45

5.2.3 System operation flow 47

5.2.4 Ultrasound-based modes of operation 48

5.2.4.1 Fetal head station 48

5.2.4.2 Fetal head position 48

5.2.4.3 Head descent during contraction 50

5.2.4.4 Pubic arch angle mode 50

5.2.5 Measurements by vaginal examination and finger sensor 52

5.2.6 Vacuum extraction operation mode 52

5.2.7 Retrieving and exporting recorded data 52

5.3 LaborPro clinical experience 55

5.4 Clinical implications 59

Bibliography 60

6 Systems for computer analysis of intrapartum fetal heart rate signals / Diogo Ayres-de-Campos Ayres-de-Campos, Diogo, Inês Nunes Nunes, Inês 61

6.1 Introduction 61

6.2 OB TraceVue® (Philips Healthcare®, Eindhoven, Netherlands) 62

6.3 Omniview-SisPorto® (Speculum®, Lisbon, Portugal) 62

6.4 PeriCALM™ (LMS Medical Systems, Montreal, QC, Canada, and PeriGen, Princeton, NJ, USA) 65

6.5 INFANT® SYSTEM (K2 Medical Systems™, Plymouth, UK) 66

6.6 Trium CTG Online® (Trium Analysis Online GmbH, Munich, Germany) 68

6.7 Discussion 68

Bibliography 70

7 Abdominal fetal electrocardiography: the way forward? / Rohan D'Souza D'Souza, Rohan, Tim Van Mieghem Mieghem, Tim Van, Isis Amer-Wåhlin Amer-Wåhlin, Isis 73

7.1 Introduction: the current place of fetal ECG monitoring 73

7.2 The advent of abdominal fetal ECG monitoring 73

7.3 The device: AN24™ fetal ECG monitor 74

7.4 Comparing abdominal fetal ECG monitoring with standard CTG monitoring 76

7.4.1 Recording quality 76

7.4.2 Reliability 76

7.4.3 Accuracy and error 77

7.4.4 Uterine activity monitoring 77

7.4.5 Safety 77

7.4.6 Differentiating maternal from fetal heart rate 78

7.4.7 Patient comfort and satisfaction 78

7.4.8 Feasibility 78

7.5 Potential applications of abdominal fetal ECG recording 78

7.5.1 Obese pregnancies 78

7.5.2 Outpatient induction of labor with remote continuous monitoring 79

7.6 Research directions 79

7.6.1 Prevention of intrapartum asphyxia 79

7.6.2 Monitoring of fetal arrhythmias 79

7.7 Conclusions 80

Bibliography 80

8 Analysis of the ST segment of the fetal electrocardiogram in labor / Tim Van Mieghem Mieghem, Tim Van, Rohan D'Souza D'Souza, Rohan, Isis Arner-Wåhlin Arner-Wåhlin, Isis 83

8.1 Introduction 83

8.2 Fetal ECG analysis in labor 83

8.3 Clinical application 84

8.3.1 The clinical setup 84

8.4 ST analysis 86

8.4.1 Interpretation of results 86

8.4.2 Findings from randomized trials 87

8.5 ST analysis in particular situations 89

8.5.1 Immature or anatomically abnormal hearts 89

8.5.2 Maternal diabetes 90

8.5.3 Maternal fever in labor 90

8.5.4 Growth-restricted fetuses 90

8.6 Cost-effectiveness 91

8.7 Conclusion 91

Bibliography 91

9 The Odón device / Sergio Carmona Carmona, Sergio, Javier Shvartzman Shvartzman, Javier, Hugo Krupitzki Krupitzki, Hugo, Gian Carlo Di Renzo Renzo, Gian Carlo Di 95

9.1 History of birthing instruments 95

9.2 History of the Odón device 97

9.3 The principle of the device 98

9.4 The anatomy of the device 99

9.5 The method of delivery 100

9.6 The possible advantages of the Odon system 101

9.7 Animal models 102

9.8 Simulator testing 102

9.9 Human trials 102

Bibliography 103

10 Intrapartum ultrasound assessment of fetal head position and station for delivery management / Anna Maria Dückelmann Dückelmann, Anna Maria, Darine El-Chaar El-Chaar, Darine, Karim D. Kalache Kalache, Karim D. 105

10.1 Decision making in prolonged second stage of labor 105

10.2 How reliable is digital examination of fetal head position and station? 105

10.3 Ultrasound examination to detect fetal head position 107

10.4 Ultrasound examination to detect fetal head station 108

10.5 Conclusions 112

Bibliography 113.

Notes:

Textbook.

Includes bibliographical references and index.

Electronic reproduction. Palo Alto, Calif. Available via World Wide Web.

Description based on print version record.

Local Notes:

Acquired for the Penn Libraries with assistance from the Rosengarten Family Fund.

ISBN:

3110316706

9783110316704

Publisher Number:

99963821075

9783110316599

Access Restriction:

Restricted for use by site license.