Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4)
How to Trip Rapid Review
Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)
Step 2: press
Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.
on the mother's abdomen for 10 minutes, concurrently with repeating the 15 minutes CTG trace. The umbilical artery Doppler was repeated 5 minutes after hanging up to avoid the interference with the Doppler machine. The umbilical artery Doppler ultrasound and the recorded fetalheart rate (FHR) strips before and after the mobile phone use were blindly analyzed with respect to umbilical artery resistance indices (RI) and CTG parameters in terms of number of fetal kicks, absence of beat to beat variability, loss (...) of accelerations and the appearance of spontaneous decelerations. Condition or disease Intervention/treatment Phase Umbilical Artery Doppler FetalHeart Rate Tracing Radiation: mobile phone Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 190 participants Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose: Diagnostic Official Title: The Effects of Mobile Phone
Effect of Oxygen vs Room Air on Intrauterine Fetal Resuscitation: A Randomized Noninferiority Clinical Trial Two-thirds of women in labor receive supplemental oxygen to reverse perceived fetal hypoxemia and prevent acidemia. Oxygen is routinely administered for category II fetalhearttracings, a class of fetaltracing used to designate intermediate risk for acidemia. This liberal use of oxygen may not be beneficial, particularly because neonatal hyperoxygenation is harmful.To test (...) the hypothesis that room air is noninferior to oxygen in improving fetal metabolic status among patients with category II fetalheart tracings.This was a randomized, unblinded noninferiority clinical trial conducted between June 2016 and July 2017 in the labor and delivery ward of a single tertiary care center. Women with singleton pregnancies at 37 weeks' gestational age or more who were admitted for delivery were eligible. Of those who met inclusion criteria, the patients who developed category II tracings
Heart Failure National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Guidelines for the Prevention, Detection, and Management of Heart Failure in Australia 2018 - Heart, Lung and Circulation Follow Email/Username: Password: Remember me Search Terms Search within Search Access provided by Volume 27, Issue 10, Pages 1123–1208 National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Guidelines for the Prevention, Detection (...) , and Management of Heart Failure in Australia 2018 NHFA CSANZ Heart Failure Guidelines Working Group 1 , x John J. Atherton Affiliations Department of Cardiology, Royal Brisbane and Women’s Hospital, Brisbane, Australia Faculty of Medicine, University of Queensland, Brisbane, Australia Faculty of Science, Health, Education and Engineering, University of Sunshine Coast, Australia Faculty of Health, Queensland University of Technology, Brisbane, Australia Correspondence Corresponding author. , MBBS, PhD, FRACP
The Influence of a Crosshair Visual Aid on Observer Detection of Simulated FetalHeart Rate Signals Objective To determine whether a visual aid overlaid on fetalheart rate (FHR) tracings increases detection of critical signals relative to images with no visual aid. Study Design In an experimental study, 21 undergraduate students viewed 240 images of simulated FHR tracings twice, once with the visual aids and once without aids. Performance was examined for images containing three different (...) variability condition. Conclusion The results of the study provide evidence that the presence of a visual aid was useful in helping novices identify FHR signals in simulated maternal-fetalheart rate images. Further, the visual aid was most useful for conditions in which the signal is most difficult to detect (when FHR variability is highest).
gestational age at the time of IUFD was 35.5 weeks. Three controls were matched to each case for a total of 24 subjects, and 87 FHR tracings were included for analysis. The median gestational age at the first fetalheart rate tracing was similar between groups (median [1st-3rd quartiles] weeks: IUFD cases: 34.7 (34.4-36.2); controls: 35.3 (34.4-36.1); p=.94). The median complexity of the cases' tracings was significantly less than the controls' (12.44 [8.9-16.77] vs. 17.82 [15.21-22.17]; p<.0001 (...) Complexity analysis of fetalheart rate preceding intrauterine demise Visual non-stress test interpretation lacks the optimal specificity and observer-agreement of an ideal screening tool for intrauterine fetal demise (IUFD) syndrome prevention. Computational methods based on traditional heart rate variability have also been of limited value. Complexity analysis probes properties of the dynamics of physiologic signals that are otherwise not accessible and, therefore, might be useful
Fetal cardiac axis and congenital heart defects in early gestation. To investigate the association between cardiac axis and fetal congenital heart defects to demonstrate the potential clinical applicability of cardiac axis measurement for detection of congenital heart defect in early gestation.This case-control study was undertaken in three tertiary centers with expertise in fetal imaging in early gestation. Fetal cardiac axis was evaluated between 11 0/7 and 14 6/7 weeks of gestation in 197 (...) fetuses with confirmed congenital heart defects. A control group was selected by matching each fetus with a congenital heart defect with two fetuses in the control group with similar crown-rump length (± 5 mm) and date of study (± 2 months). Cardiac axis was measured on the four-chamber view as the angle between the line that traces the long axis of the heart and the line that bisects the thorax in an anteroposterior direction.In the control group, mean cardiac axis was 44.5 ± 7.4°. The cardiac axis
Preterm Cesarean Delivery for Nonreassuring FetalHeart Rate: Neonatal and Neurologic Morbidity. To compare the rates of neonatal morbidity and cerebral palsy among preterm neonates (less than 37 weeks of gestation) delivered by cesarean for a nonreassuring fetalheart rate (FHR) tracing compared with those who did not.This was a secondary analysis of a multicenter randomized trial of MgSO4 for the prevention of cerebral palsy. Newborns of women delivered by cesarean delivery for nonreassuring (...) %, adjusted OR 2.3, 95% CI 1.2-4.5) and moderate-to-severe cerebral palsy at 2 years of corrected age (6.0 compared with 2.2%, adjusted OR 3.2, 95% CI 1.4-7.1) was significantly higher in children born through cesarean delivery for nonreassuring FHR.Nonreassuring fetaltracing deemed so serious as to require cesarean delivery is associated with an increased risk of cerebral palsy in preterm neonates.II.
of the contractions, and the amount of discontinuous tracings from the devices. Compare the fetalheart rate tracing obtained via the EUM device vs. external fetal Doppler vs. fetal scalp electrode (simultaneously obtained, 30 minute tracings will be compared) among obese patients and nonobese patients with regards to the amount of discontinuous/unterinterpetable tracing, average fetalheart rate, baseline heart rate, the number accelerations, the number of decelerations, the timing of the accelerations (...) , the timing of decelerations, the maximum fetalheart rate achieved during acceleration, the lowest fetalheart rate achieved during deceleration, and compare the degree of variability in the tracing. Compare tracings of productive vs. non-productive contractions in patients presenting to triage to rule out labor (30 minutes of simultaneously obtained tracings of external tocodynamometer and EUM device will be compared) with regards to the frequency of contractions, the duration of contractions, maximum
purpose of this study was to validate a recently published algorithm for the management of category II fetalheart rate tracings, to examine reasons for the birth of infants with significant metabolic acidemia despite the use of electronic fetalheart rate monitoring, and to examine critically the limits of electronic fetalheart rate monitoring in the prevention of neonatal metabolic acidemia.The potential performance of electronic fetalheart rate monitoring under ideal circumstances was evaluated (...) in an outcomes-blinded examination fetalheart rate tracing of infants with metabolic acidemia at birth (base deficit, >12) and matched control infants (base deficit, <8) under the following conditions: (1) expert primary interpretation, (2) use of a published algorithm that was developed and endorsed by a large group of national experts, (3) assumption of a 30-minute period of evaluation for noncritical category II fetalheart rate tracings, followed by delivery within 30 minutes, (4) evaluation without
fetalheart rate tracings from the terminal 30 minutes before delivery. A website was created to view these tracings with the use of the standard Hon-Quilligan method and adjusted the same tracings to the 1 cm/min monitoring speed for the Caldeyro-Barcia method. We invited 2-4 caregivers to participate: maternal-fetal medicine experts, practicing maternal-fetal medicine specialists, maternal-fetal medicine fellows, obstetrics nurses, and certified nurse midwives. After completing an introductory (...) tutorial and quiz, they were asked to interpret the fetalheart rate tracings (the order was scrambled) to manage and predict maternal and neonatal outcomes using both methods. Their results were compared with those of our expert, Edward Quilligan, and were compared among groups. Analysis was performed with the use of 3 measures: percent classification, Kappa, and adjusted Gwet-Kappa (P < .05 was considered significant).Overall, our results show from moderate to almost perfect agreement with the expert
the first trimester to 40 weeks gestational age, and to explore functional and electrophysiological events that potentially impact its evolution. We prospectively examined healthy pregnancies by fetal echocardiography from 6 to 40 weeks' gestational age. The atrioventricular interval, heart rate, isovolumic contraction time, and A-wave duration were measured from simultaneous ventricular inflow-outflow Doppler tracings. Regression analysis was used to examine relations with gestational age, and linear (...) Evolution of the Fetal Atrioventricular Interval from 6 to 40 Weeks of Gestation. Doppler-based methods of estimating the atrioventricular interval are commonly used as a surrogate for the electrical PR in fetuses at risk of conduction abnormalities; however, to date, normal values for the fetal atrioventricular interval and an understanding of the evolution of its components in the late first trimester are lacking. We sought to investigate changes in the fetal atrioventricular interval from
studied fetal sheep supported for a minimum of 3 weeks on EXTEND. Hemodynamic parameters of heart rate, mean arterial pressure, Doppler echocardiography derived cardiac output, pulsatility indices of middle cerebral artery, umbilical artery, and ductus venosus, and cardiac function as gauged by speckle tracking derived global longitudinal strain and strain rate of right and left ventricles, were all measured weekly and compared.Of 10 fetal sheep, 7 survived for 3 weeks and were studied. Median (...) gestational age at cannulation was 107 days (range 95-109). Parameters of heart rate, blood pressure, the quantities and relative ratios of right and left cardiac output all remained stable within the anticipated physiological range throughout. Vascular tracings and pulsatility indices appeared similar to normal as seen in the natural in-utero state, with middle cerebral pulsatility indices higher than umbilical arterial. Umbilical arterial tracings maintained abundant diastolic flow despite absence
heart rate alterations during labor, i.e. groups of women who share late-term pregnancy as a risk factor.This randomized clinical trial recruited women whose pregnancy had lasted more than 290 days. The participants were randomly assigned to continuous fetal cardiotocographic monitoring alone (CTG group) or with fetal ECG ST-segment analysis (ECG-F group). In the CTG group fetalheart rate was interpreted according to guidelines from the National Institute of Child Health and Human Development (...) , whereas in the ECG-F group the tracings were interpreted according the original International Federation of Gynecology and Obstetrics (FIGO) guidelines. The primary outcome measure was neonatal outcome, evaluated as arterial blood pH in neonates after abdominal or vaginal operative delivery indicated because of nonreassuring fetal status.A total of 237 women were randomized, of whom 200 were included in the final analysis (100 in each group). The rate of cesarean delivery was the same in both groups
used on Labor and Delivery at MetroHealth Medical Center Experimental: Volume Replacement IV Preload Patients in this arm will receive 1500mL of Lactated Ringer's solution Drug: Lactated Ringer's 1500 cc of IV Fluid (crystalloid) used for preload prior to epidural administration in the treatment arm. Control arm receives 500 cc. Other Name: Ringer's Lactate Outcome Measures Go to Primary Outcome Measures : Incidence of New-onset Category II or III FetalHeart Rate Tracings [ Time Frame: First 60 (...) minutes following epidural placement ] Each fetalheart rate tracing was evaluated in 15 min increments from the completion of epidural placement and initial dose administration. ACOG Category I, II, and III was assigned to each 15 min increment. Secondary Outcome Measures : New Onset Hypotension (>20% Decrease in Systolic and/or Diastolic Blood Pressure) [ Time Frame: First 60 minutes following epidural placement ] Interventions to Correct Maternal Hypotension or FetalHeart Rate Abnormalities
case by gestational age and mode of delivery in a two-to-one fashion. The last hour of electronic fetalheart rate monitoring before delivery was evaluated by three obstetricians blinded to outcome.The differences in tracing category were not significantly different (neonates in the case group 10.3% I, 76.9% II, 12.8% III; neonates in the control group 9.0% I, 89.7% II, 1.3% III; P=.18). Bivariate analysis showed neonates in the case group had significantly increased late decelerations, total (...) Diagnostic accuracy of fetalheart rate monitoring in the identification of neonatal encephalopathy. To estimate the diagnostic accuracy of electronic fetalheart rate abnormalities in the identification of neonates with encephalopathy treated with whole-body hypothermia.Between January 1, 2007, and July 1, 2013, there were 39 neonates born at two hospitals within our system treated with whole-body hypothermia within 6 hours of birth. Neurologically normal control neonates were matched to each