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- Management of intrapartum fetal heart rate tracings. ACOG practice bulletin no. 116.Obstet Gynecol. 2010; 116: 1232-1240
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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). A randomized trial of fetal ECG ST segment and T wave analysis as an adjunct to electronic fetal heart rate monitoring (STAN). ClinicalTrials.gov [Internet]. Bethesda, MD: National Library of Medicine (US). 2000-NLM Identifier: NCT01131260. Available at: http://clinicaltrials.gov/ct2/show/NCT01131260?term= STAN&rank=1. Accessed Dec. 23, 2013.
The authors report no conflict of interest.
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- Maternal oxygen administration for intrauterine resuscitationAmerican Journal of Obstetrics & GynecologyVol. 212Issue 3
- PreviewIt was with great interest that we read “Oxygen for intrauterine resuscitation: of unproven benefit and potentially harmful.”1 We commend the authors for their attention to this topic. However, it should be noted that a plethora of evidence was either not cited or disregarded in order to draw the authors’ conclusions. The opinions expressed in the article stand in admittedly stark contrast to current practice and recommendations of the professional organizations American Congress of Obstetricians and Gynecologists; Association of Women's Health, Obstetric and Neonatal Nurses; and American College of Nurse-Midwives.
- Maternal oxygen use during laborAmerican Journal of Obstetrics & GynecologyVol. 212Issue 3
- PreviewWe read with interest the Clinical Opinion of Hamel et al1 in which the authors suggest that supplemental maternal oxygen should only be used for conditions of maternal and not fetal hypoxemia. Although the article raises important points, we believe there are indications of maternal oxygen for treatment of fetal hypoxemia. The authors note 2 randomized studies, containing relatively low numbers of laboring patients, which failed to demonstrate a fetal benefit. Notably, both studies reported no difference in umbilical cord pH among the groups.