Clinical Study
The Regional Centralization of Electronic Fetal Heart Rate Monitoring and Its Impact on Neonatal Acidemia and the Cesarean Birth Rate
Table 2
The incidence of low pH values and cesarean births before and after the introduction of FHR centralization in the compliant and noncompliant group.
| | | | Period 1 (before) | Period 2 (after) | Statistical significance |
| | Compliant group ( | Total deliveries | 2327 | 2748 | | | CS due to NRFS | 89 (3.8%) | 93 (3.4%) | ns | | eCS due to reasons other than NRFS | 70 (3.0%) | 88 (3.2%) | ns | | Total CS | 452 (19.4%) | 476 (17.3%) | ns | | pH < 7.1 | 10 (0.43) | 3 (0.11%) | | | pH 7.1–7.2 | 43 (1.8%) | 58 (2.1%) | ns | | Apgar score < 4 at 1 min | 5 (0,2%) | 5 (0,2%) | ns | | Apgar score < 4 at 5 min | 1 (0.0%) | 0 | ns |
| | Noncompliant group () | Total deliveries | 1142 | 1298 | | | CS due to NRFS | 62 (5.4%) | 79 (6.1%) | ns | | eCS due to reasons other than NRFS | 20 (1.8%) | 31 (2.4%) | ns | | Total CS | 226 (19.8%) | 331 (25.5%) | | | pH < 7.1 | 2 (0.18%) | 4 (0.31%) | ns | | pH 7.1–7.2 | 6 (0.5%) | 10 (0.8%) | ns | | Apgar score < 4 at 1 min | 0 | 2 (0.2%) | ns | | Apgar score < 4 at 5 min | 0 | 0 | ns |
|
|
Including 1 intrapartum fetal death of abruption.
|
