Pregnancy Clinical Trial
Official title:
A Randomized Trial of Fetal ECG ST Segment and T Wave Analysis as an Adjunct to Electronic Fetal Heart Rate Monitoring (STAN)
The purpose of this research is to test a new instrument, called a fetal STAN monitor, that may be used during labor to monitor the electrical activity of the baby's heart. This new instrument is designed to help the doctor determine how well the baby is doing during labor. It will be used along with the existing electronic fetal monitor used to measure the baby's heart rate and the mother's contractions during birth. The specific purpose of this research study is to see if this new instrument (fetal STAN monitor) will have an impact on newborn health.
A Randomized Trial of Fetal ECG ST Segment and T Wave Analysis as an Adjunct to Electronic
Fetal Heart Rate Monitoring (STAN):
Fetal ECG analysis of the ST segment (STAN) is now FDA-approved and clinically available in
the United States as an adjunct for the interpretation of electronic fetal heart rate
patterns. There have been a number of randomized controlled trials as well as observational
studies in Europe documenting utility of this modality in terms of reducing fetal acidosis at
birth, and decreasing the need for operative vaginal delivery. However, despite these
endorsements, there remain concerns with the application of the technology to the United
States. None of the randomized trials were performed in the United States where patient
case-mix and obstetrical practice, such as the use of fetal scalp pH, differ from Europe,
which may affect the impact of this technology on perinatal outcomes. Moreover, the results
of the European studies are not uniformly positive.
This protocol describes a randomized controlled trial of the STAN technology as an adjunct to
electronic fetal heart rate monitoring versus fetal heart rate monitoring alone.
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