OB-GYN-L Messages for November, 2006: Re: STAN

Re: STAN
From: Mats O Bergstrom (mob@stockholm.bonet.se)
Mon Nov 27 15:13:29 2006

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In reply to: art fougner, md: "Re: STAN"
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<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> Yes, that's the Finnish one, where STAN "did not improve the neonatal outcome or decrease the ceasarean section rate".

The new Swedish study, claiming "consistent improvements in fetal outcome":

Noren H, Blad S, Carlsson A et al. STAN in clinical practise - The outcome of 2 years of regular use in the city of Gothenburg. Am J Obstet Gynecol 2006;195:7-15.

The latest study (the one Bernard mentions) from the US, I'm not sure if it really claims to show anything.

Mats Bergstrom, MD
Ob Gyn
South Hospital
Stockholm

art fougner, md skrev:

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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