Home Labour Induction with Retrievable Prostaglandin Pessary and Continuous Telemetric Trans-Abdominal Fetal ECG Monitoring 英文参考文献.docVIP

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Home Labour Induction with Retrievable Prostaglandin Pessary and Continuous Telemetric Trans-Abdominal Fetal ECG Monitoring 英文参考文献.doc

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Home Labour Induction with Retrievable Prostaglandin Pessary and Continuous Telemetric Trans-Abdominal Fetal ECG Monitoring 英文参考文献

HomeLabourInductionwithRetrievableProstaglandin PessaryandContinuousTelemetricTrans-Abdominal FetalECGMonitoring ZubairRauf1,EdiriO’Brien2,TamaraStampalija1,FlorinP.Ilioniu1,TinaLavender2,ZarkoAlfirevic1* 1DepartmentofWomen’sandChildren’sHealth,UniversityofLiverpool,LiverpoolWomen’sHospital,Liverpool,UnitedKingdom,2SchoolofNursing,MidwiferySocial Work,UniversityofManchester,Manchester,UnitedKingdom Abstract Objective:Toevaluatethefeasibilityofcontinuoustelemetrictrans-abdominalfetalelectrocardiogram(a-fECG)inwomen undergoinglabourinductionathome. StudyDesign:Lowriskwomenwithsingletontermpregnancyundergoinglabourinductionwithretrievable,slow-release dinoprostonepessaries(n=70)wereallowedhomeforupto24hours,whilea-fECGanduterineactivityweremonitoredin hospital via wireless technology. Semi-structured diaries were analysed using a combined descriptive and interpretive approach. Results:62/70women(89%)hadsuccessfulhomemonitoring;8women(11%)wererecalledbecauseofsignalloss.Home monitoring lasted between 2–22hours (median 10hours). Good quality signal was achieved most of the time (86%, SD 10%). 3 women were recalled back to hospital for suspicious a-fECG. In 2 cases suspicious a-fECG persisted, requiring Caesareansectionafterrecalltohospital.48/51womenwhoreturnedthediarycopedwell(94%);46/51weresatisfiedwith homemonitoring(90%). Conclusions: Continuous telemetric trans-abdominal fetal ECG monitoring of ambulatory women undergoing labour inductionisfeasibleandacceptabletowomen. Citation: Rauf Z,O’Brien E,StampalijaT, Ilioniu FP, Lavender T,et al.(2011) HomeLabourInduction with Retrievable Prostaglandin Pessary and Continuous TelemetricTrans-AbdominalFetalECGMonitoring.PLoSONE6(11):e28129.doi:10.1371/journal.pone.0028129 Editor:JoseM.Belizan,InstituteofClinicalEffectivenessandHealthPolicy,Argentina ReceivedJuly20,2011;AcceptedNovember1,2011;PublishedNovember28,2011 Copyright:?2011Raufetal.Thisisanopen-accessarticledistributedunderthetermsoftheCreativeCommonsAttributionLicense