Re: STAN

From: art fougner, md (evsono@pipeline.com)
Sat Nov 25 10:45:39 2006


Bernard

here's one study showing little difference in outcome: BJOG. 2006 Apr;113(4):419-23.

Art

Looks like yet another subject for metanalysis ...

At Sat, 25 Nov 2006, Bernard Cristalli wrote: >
>Mats,
>Have you got the references of these papers?
>Bernard
>
>Mats O Bergstrom a écrit :
>
>> STAN (ST-ANalysis, where ST is the the traditional EKG curve between
>> the points S and T) is mainly a Swedish invention. I know some of the
>> persons with an economic interest in the procedure. There are now two
>> heavy studies, one Finnish (early 2006) showing no benefits in
>> comparison with traditional CTG, and one Swedish (later 2006) showing
>> a slight but significant decrease in neonatal asphyxia without a
>> significant rise of the cesarean rate. Lately, some case reports have
>> drawn attention, also in mainstream Swedish media, to a suspicion that
>> the expected higher safety with STAN compared to traditional CTG has
>> been causing obstetricians to postpone an otherwise obvious emergency
>> cesarean section.
>>
>> So, the STAN approach is currently in limbo.
>>
>> Mats Bergstrom, MD
>> Ob Gyn
>> South Hospital
>> Stockholm
>> (on ob-gyn-l since day 1 in 1994)
>>
>> Bernard Cristalli wrote:
>>
>>> Does anybody use the STAN for perpartum fetal EKG analysis?
>>> What do you think of it and of its easiness?
>>> Bernard
>>>
>>> Devoe LD, Ross M, Wilde C, Beal M, Lysikewicz A, Maier J, et al.
>>> United States multicenter clinical usage study of the STAN 21
>>> electronic fetal monitoring system. Am J Obstet Gynecol. 2006
>>> Sep;195(3):729-34.
>>>
>--
>’
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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