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Canadian Journal of Anesthesia, Vol 30, 91-93, Copyright © 1983 by Canadian Anesthesiologists' Society
1 Department of Anaesthesia, University of Manitoba
2 Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba
With the widespread use of electronic foetal heartrate monitoring and foetal scalp sampling to detect foetal asphyxia during labour, one must be cognizant of the limitations of these procedures. They are only a reflection of foetal status up to the moment of sampling and cannot anticipate all the changes that may still occur before or during delivery. Clinical experiences have shown that about 95 per cent of the foetuses with a normal heart rate tracing have a one-minute Apgar score of seven or more, but about one-third of the foetuses with abnormal heart rates are also vigorous at birth.3
In conclusion, properly performed and interpreted foetal heart-rate monitoring and scalp sampling are valuable aids in assessing the foetus during labour.
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