Fetal cardiotocography in childbirth

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Abstract

The fetal status during childbirth may be assessed analyzing the patterns of fetal cardiac rhythm. Despite the wide use of the method, interpretation of cardiotocography (CTG) remains controversial due to the absence of significant differences in the number of cerebral palsy diagnoses, infant deaths, and other standard assessments of neonatal well-being as compared to periodic auscultation. The paper considers modern ideas on the pathophysiological processes determining the main patterns of CTG and a new concept CTG assessment in childbirth.

Conclusion: Changing ideas on the pathophysiological mechanism underlying in the interpretation of CTG will be able to formulate a new approach that is more sensitive to the degree of fetal hypoxic changes and will increase its informative value.

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About the authors

Natalia G. Istomina

Northern State Medical University, Ministry of Health of the Russian Federation

Author for correspondence.
Email: nataly.istomina@gmail.com

PhD, Associate Professor, Department of Obstetrics and Gynecology

Russian Federation, Arkhangelsk

Alexey N. Baranov

Northern State Medical University, Ministry of Health of the Russian Federation

Email: nataly.istomina@gmail.com

Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology

Russian Federation, Arkhangelsk

Maria Yu. Dolidze

Northern State Medical University, Ministry of Health of the Russian Federation

Email: nataly.istomina@gmail.com

Teaching Assistant, Department of Obstetrics and Gynecology

Russian Federation, Arkhangelsk

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