Re: STAN
From: Efrain Ramirez (eramirezt@coqui.net)
Mon Nov 27 16:29:16 2006
I visited their website - even made a download of their stuff..
interesting cases - time will tell ...
Ef
>At Mon, 27 Nov 2006, Mats O Bergstrom wrote:
>
><!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:
><blockquote cite="mid200611251745.kAPHjbo03495@dns.obgyn.net"
> type="cite">
> 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
>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
