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Re: Fetal Pulse Oximetry No HelpFrom: Elrod, Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Tue Feb 28 15:46:14 2006
But this is what they really told us when we first started using fetal pulsoximetry. The likelihood was that we wouldn't do less c-sections overall, we'd just do less for distress or non reassuring tracings, but more for arrest disorders. I thought Nelcor stopped manufacturing the model anyway? Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art fougner, md Sent: Tuesday, February 28, 2006 10:16 PM To: Multiple recipients of list OB-GYN-L Subject: OB: Fetal Pulse Oximetry No Help
>From the latest Ob-Gyn News ... Fetal pulse oximetry failed to significantly decrease the cesarean delivery rate or to improve neonatal outcomes in a randomized, multicenter study of more than 5,000 women, Dr. Steven L. Bloom said at the annual meeting of the Society for Maternal-Fetal Medicine. "Unfortunately, the results of this study ... suggest that fetal oximetry has not realized its promise of reducing cesarean births," said Dr. Bloom, who presented the findings on behalf of the National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network in Bethesda, Md. Dr. Bloom and his associates randomized 2,629 nulliparous women at term in early labor to an "open oximetry" group; physicians delivering the babies of the women in this group could view fetal oxygen saturation values. For comparison, they randomized another 2,712 women to a "masked oximetry" group. The oximetry was an adjunct to continuous electronic fetal monitoring. A total of 692 women in the open group and 747 women in the masked group delivered via cesarean section (26.3% vs. 27.5%). A nonreassuring fetal heart rate was the reason for cesarean section for 187 women in the open group and 214 women in the masked group (7.1% vs. 7.9%). Dystocia was the reason for 490 women in the open group and 521 women in the masked group (18.6% vs. 19.2%). "The overall cesarean rate, as well as the rates of cesarean deliveries for specific indications, was not different," said Dr. Bloom, interim chair of the department of obstetrics and gynecology at the University of Texas Southwestern Medical Center in Dallas. http://www.obgynnews.com/article/PIIS0029743706714392/fulltext Art
-- art fougner, md Support Free Speech Buy Danish!
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