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. 2000;2000(3):CD002254.
doi: 10.1002/14651858.CD002254.

Near-infrared spectroscopy for fetal assessment during labour

E Mozurkewich  1 , F M Wolf
Affiliations

Near-infrared spectroscopy for fetal assessment during labour

E Mozurkewich et al. Cochrane Database Syst Rev. 2000.

Abstract

Background: Over the past four decades, continuous electronic fetal monitoring (EFM) has been increasingly employed to detect fetal acidemia in labor, with a view toward prevention of hypoxic ischemic encephalopathy, permanent neurologic injury, and death. Although very sensitive, this technology has low specificity, and a high false positive rate. This false positive rate has resulted in operative intervention on behalf of many fetuses who were not in fact in danger of neurologic injury or death. Near-infrared spectroscopy has been developed to directly measure fetal cerebral oxygenation, with a view toward identification of those fetuses truly at risk.

Objectives: To determine the effects of the use of near-infrared spectroscopy (NIRS) to assess fetal condition during labour, on maternal and perinatal outcomes.

Search strategy: We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register. Date of last search: November 1999.

Selection criteria: Randomized trials comparing near-infrared spectroscopy with continuous EFM alone or continuous EFM and scalp pH.

Data collection and analysis: Eligibility and trial quality were assessed by one reviewer.

Main results: No randomized trials were identified. Thus no studies were included.

Reviewer's conclusions: There is currently insufficient evidence to assess the efficacy of fetal surveillance by near-infrared spectroscopy.

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Conflict of interest statement

None known.

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References

Additional references

Aldrich 1994
    1. Aldrich CJ, D'Antona D, Wyatt JS, Spencer JAD, Peebles DM, Reynolds EOR. Fetal cerebral oxygenation measured by near‐infrared spectroscopy shortly before birth and acid‐base status at birth. Obstetrics & Gynecology 1994;84(5):861‐6. - PubMed
Alfirevic 2006
    1. Alfirevic Z, Devane D, Gyte GML. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database of Systematic Reviews 2006, Issue 3. [Art. No.: CD006066. DOI: 10.1002/14651858.CD006066] - PubMed
Chipchase 2002
    1. Chipchase J, Kirkby D, Peebles D, Cope M, Rodeck C. Cerebral hemoglobin concentration and oxygen saturation measured by intensity modulated optical spectroscopy in the human fetus during labor. Journal of Perinatal Medicine 2002;30(6):502‐9. - PubMed
Deeks 2001
    1. Deeks JJ, Altman DG, Bradbury MJ. Statistical methods for examining heterogeneity and combining results from several studies in meta‐analysis. In: Egger M, Davey Smith G, Altman DG editor(s). Systematic reviews in health care: meta‐analysis in context. London: BMJ Books, 2001.
Gates 2005
    1. Gates S. Methodological Guidelines. In: The Editorial Team. Pregnancy and Childbirth Group. About The Cochrane Collaboration (Collaborative Review Groups (CRGs)) 2005, Issue 2. Art. No.: PREG.
Hamilton 1995
    1. Hamilton RJ, O'Brien PMS, Wickramasinghe YA, Rolfe P. Intrapartum cerebral near infrared spectroscopy: apparent change in oxygenation demonstrated in a non viable fetus. British Journal of Obstetrics and Gynaecology 1995;102(12):1004‐7. - PubMed
Hamilton 1996
    1. Hamilton RJ, Hodgett SG, O'Brien PM. Near infrared spectroscopy applied to intrapartum fetal monitoring. Baillieres Clinical Obstetrics and Gynaecology 1996;10(2):307‐24. - PubMed
Higgins 2005
    1. Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions 4.2.4 [updated March 2005]. In: The Cochrane Library, Issue 2, 2005. Chichester, UK: John Wiley & Sons, Ltd.
Hofmeyr 1998
    1. Hofmeyr GJ, Kulier R. Operative versus conservative management for 'fetal distress' in labour. Cochrane Database of Systematic Reviews 1998, Issue 2. [Art. No.: CD001065. DOI: 10.1002/14651858.CD001065] - PubMed
Nelson 1996
    1. Nelson KB, Dambrosia JM, Ting TY, Grether JK. Uncertain value of electronic fetal monitoring in predicting cerebral palsy. New England Journal of Medicine 1996;334(10):613‐8. - PubMed
O'Brien 1993
    1. O'Brien PM, Doyle PR, Rolfe P. Near infrared spectroscopy in fetal monitoring. British Journal of Hospital Medicine 1993;49(7):483‐7. - PubMed
Peebles 1992
    1. Peebles DM, Edwards AD, Wyatt JS, Bishop AP, Cope M, Delpy DT, et al. Changes in human fetal cerebral hemoglobin concentration and oxygenation during labor measured by near‐infrared spectroscopy. American Journal of Obstetrics and Gynecology 1992;166(5):1369‐73. - PubMed
Peebles 1997
    1. Peebles DM. Cerebral hemodynamics and oxygenation in the fetus: The role of intrapartum near‐infrared spectroscopy. Clinics in Perinatology 1997;24(3):547‐65. - PubMed
Peebles 2005
    1. Peebles D. Personal communication 2005.
RevMan 2003 [Computer program]
    1. The Cochrane Collaboration. Review Manager (RevMan). Version 4.2 for Windows. Oxford, England: The Cochrane Collaboration, 2003.
Schmidt 2003
    1. Schmidt S. Laserspectroscopy in the fetus during labour. European Journal of Obstetrics & Gynecology and Reproductive Biology 2003;110(Suppl 1):127‐31. - PubMed
Seelbach‐Gobel 1996
    1. Seelbach‐Gobel B. Correlation between NIR spectroscopy and fetal pulse oximetry. Journal of Perinatal Medicine 1996;24(1):69‐75. - PubMed

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