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Scientific Publications

Publications referring to the ST Analysis

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Cardiotocography Plus ST Analysis of Fetal Electrocardiogram Compared With Cardiotocography Only for Intrapartum Monitoring: A Randomized Controlled Trial Westerhuis, Michelle E. M. H.; Visser, Gerard H. A.; Moons, Karel G. M.; van Beek, Erik; Benders, Manon J.; Bijvoet, Saskia M.; van Dessel, Hendrikus J. H. M.; Drogtrop, Addy P.; van Geijn, Herman P.; Graziosi, Giuseppe C.; Groenendaal, Floris; van Lith, Jan M. M.; Nijhuis, Jan G.; Oei, S. Guid; Oosterbaan, Herman P.; Porath, Martina M.; Rijnders, Robbert J. P.; Schuitemaker, Nico W. E.; Sopacua, Louisa M.; van der Tweel, Ingeborg; Wijnberger, Lia D. E.; Willekes, Christine; Zuithoff, Nicolaas P. A.; Mol, Ben Willem J.; Kwee, Anneke Obstetrics & Gynecology. 115(6):1173-1180, June 2010. doi: 10.1097/AOG.0b013e3181dfffd6
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Reduced prevalence of metabolic acidosis at birth: an analysis of established STAN usage in the total population of deliveries in a Swedish district hospital Norén H, Carlsson A. Am J Obstet Gynecol 2010;202.
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Clinical Outcomes of High-risk Labours Monitored Using Fetal Electrocardio-graphy. Rafal Rzepka,1MD, PhD, Andrzej Torbé,1PhD, MD, Sebastian Kwiatkowski,1MD PhD, Wojciech Blogowski,1MD, Ryszard Czajka,1PhD, MD. Ann Acad Med Singapore 2010;39:27-32
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Acceptability of the fetal electrocardio-graphic (STAN®) monitoring system by staff at a high risk maternity unit. Parisaei M, Harrington KF, Erskine KJ. Department of Obstetrics and Gynecology, Elizabeth Garrett Anderson Wing, University College Hospital, 235 Euston Road, London, NW1 2BU, UK.J Perinat Med. 2010 Feb 2
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Inter- and intra-observer agreement of intrapartum ST analysis of the fetal electrocardiogram in women monitored by STAN MEMH Westerhuis, a E van Horen, a A Kwee, a I van der Tweel, b GHA Visser, a KGM Moons c
BJOG 2009. 116:545-551
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Effect of availability of fetal ECG monitoring on operative deliveries. Anita Kale, Yap-Seng Chong, Arijit Biswas
Acta Obstetricia et Gynecologica 2008. 87: 1189-1193
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Changes in the ST-interval segment of the fetal electrocardiogram in relation to acid-base status at birth. Melin M, Bonnevier A, Cardell M, Hogan L, Herbst A.
BJOG 2008. 115:1669-1675.
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Prediction of neonatal acidemia by computer analysis of fetal heart rate and ST event signals. Antonia Costa, Diogo Ayres-de-Campos, Fernanda Costa, Cristina Santos, Joao Bernardes
Am J Obstet Gynecol 2009;201:464.e1-6.
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Inter-observer agreement in clinical decision-making for abnormal cardiotocogram (CTG) during labour: a comparison between CTG and CTG plus STAN C Vayssière a,b , V Tsatsaris c , O Pirrello d , C Cristini e , C Arnaud e,f , F Goffinet b,c
BJOG 2009;116:1081-1088.
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Interobserver agreement in the assessment of intrapartum automated fetal electrocardiography in singleton pregnancies. Ojala K, Mäkikallio K, Haapsamo M, Ijäs H, Tekay A.
Acta Obstet Gynecol Scand. 2008;87(5):536-40.
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Assessment of STAN S21 fetal heart monitor by medical staff. Rault S, Vayssiere C, Roth E, David E, Favre R, Langer B.
Int J Gynaecol Obstet. 2008 Jul;102(1):8-11. Epub 2008 Apr 18.
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Fetal electrocardiographic monitoring during labor in relation to cord blood levels of the brain-injury marker protein S-100. Stuart A, Edvinsson L, Källen K, Olofsson P, Hellsten C, Amer-Wåhlin I.
J Perinat Med. 2008;36(2):136-41.
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Intrapartum fetal ECG and diabetes. Yli BM, Källén K, Stray-Pedersen B, Amer-Wåhlin I.
J Matern Fetal Neonatal Med. 2008 Apr;21(4):231-8.
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The long-term cost-effectiveness of fetalmonitoring during labour: a comparison of cardiotocography complemented with ST analysis versus cardiotocography alone. E Heintz,a T-H Brodtkorb,a N Nelson,b L-A Levinaa. BJOG 2008:8.
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ST Analysis of the fetal ECG as an adjunct to FHR monitoring in labour – a clinical validation. Håkan Norén
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Abstracts from Nordic Congress of Obstetrics and Gynecolgy, June 2008 Read more...

Fetal electrocardiotocography in labor and neonatal outcome. Massoud M, Giannesi A, Amabile, Manevy M, Geron G, Gaucherand P. J Matern Fetal Neonatal Med. 2007 Nov;20(11):819-24.
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A French randomized controlled trial of ST-segment analysis in a population with abnormal cardiotocograms during labor. Vayssière C, David E, Meyer N, Haberstich R, Sebahoun V, Roth E, Favre R, Nisand I, Langer B. Am J Obstet Gynecol. 2007 Sep;197(3):299.e1-6.
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Fetal electrocardiogram ST-segment analysis and prediction of neonatal acidosis. Vayssiere C, Haberstich R, Sebahoun V, David E, Roth E, Langer B. Int J Gynaecol Obstet.2007 May;97(2):110-4. Epub 2007 Mar 26.
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STAN, a clinical audit: the outcome of 2 years of regular use in the city of Varberg, Sweden. Welin AK, Norén H, Odeback A, Andersson M, Andersson G, Rosén KG. Acta Obstet Gynecol Scand. 2007;86(7):827-32.
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Change in heart rate variability in relation to a significant ST-event associates with newborn metabolic acidosis. Siira S, Ojala T, Ekholm E, Vahlberg T, Blad S, Rosén KG. BJOG 2007 Jul;114(7):819-23. Epub 2007 May 16.
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Limitations of ST analysis in clinical practice: three cases of intrapartum metabolic acidosis. Westerhuis ME, Kwee A, van Ginkel AA, Drogtrop AP, Gyselaers WJ, Visser GH. BJOG. 2007 Oct;114(10):1194-201.
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Fetal electrocardiogram: ST waveform analysis in intrapartum surveillance. Amer-Wahlin I, Arulkumaran S, Hagberg H, Maršál K, Visser GHA. BJOG 2007;114:1191-1193
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Review of the first 1502 cases of ECG-ST waveform analysis during labour in a teaching hospital Doria V, Papageorghiou AT, Gustavsson A, Ugwumadu A, Arulkumaran S. BJOG 2007;114:1202-1207.
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United States multicenter clinical usage study of the STAN S21 electronic fetal monitoring system. Devoe LD, Ross M, Wilde C, Beal M, Lysikewicz A, Maier J, Vines V, Amer-Wåhlin I, Lilja L, Norén H, Maulik D. Am J Obstet Gynecol. 2006;195, 729–734.
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Cochrane Review: Fetal electrocardiogram (ECG) for fetal monitoring during labour. Neilson JP. Fetal electrocardiogram (ECG) for fetal monitoring during labour. The Cochrane Database of Systematic Reviews 2006 Issue 3.
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STAN in clinical practice – The outcome of 2 years of regular use in the city of Gothenburg. Norén H et al. Am J Obstet Gynecol 2006;195:7-15.
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A comparison of intrapartum automated fetal electrocardiography and conventional cardiotocography-a randomised controlled study. Ojala K, Vaarasmaki M, Makikallio K, Valkama M, Tekay A. BJOG: An International Journal of Obstetrics & Gynaecology, Volume 113 (2006) number 4 pages 419-123.
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Foetal ECG and STAN technology – a review. Amer-Wåhlin et al European Clinics in Obstetrics and Gynaecology, ISSN: 1613-3412 (Paper), 1613-3420 (Online), Published online: 17 June 2005.
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Fetal heart rate patterns and ECG ST segment changes preceding metabolic acidaemia at birth Amer-Wåhlin et al. BJOG: An International Journal of Obstetrics & Gynaecology, Volume 112 (2005) number 2 Pages 160-165.
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Fetal scalp pH and ST analysis of the fetal ECG as an adjunct to CTG. A multi-centre, observational study. Luttkus AK, Norén H, Stupin JH, Blad S, Arulkumaran S, Erkkola R, Hagberg H, Lenstrup C, Visser GHA, Tamizian O, Yli B, Rosén KG, Dudenhausen JW. Accepted for publication Dec 2004.
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ST-segment analysis of the fetal ECG improves fetal heart rate tracing interpretation and clinical decision making. Ross MG, Devoe LD, Rosén KG. JMatern Fetal Neonatal Med. 2004 Mar;15(3):181-5.
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The quality of intrapartum fetal heart rate monitoring. P. C. A. M. Bakker, G. J. Colenbrander, A. A. Verstraeten and H. P. Van Geijn European Journal of Obstetrics & Gynecology and Reproductive Biology. Volume 116, Issue 1, 10 September 2004, pages 22-27.
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Fetal scalp pH and ST analysis of the fetal ECG as an adjunct to CTG. A multi-centre, observational study. Luttkus et al. Journal of Perinatal Medicine, vol. 32 (2004) no. 6, pages 485-494.
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Fetal electrocardiography in labor and neonatal outcome: Data from the Swedish randomised controlled trial on intrapartum fetal monitoring. Norén H, Amer-Wåhlin I, Hagberg H, Herbst A, Kjellmer I, Maršál K, Olofsson P, Rosén KG. Am J Obstet Gynecol 2003;188:183-192.
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Current status of intrapartum fetal monitoring: cardiotocography versus cardiotocography + ST analysis of the fetal ECG. Olofsson P. Euro J Obstet Gynecol Reprod Biol 2003;110:113-118.
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ST analysis of the fetal electrocardiogram during labour: Nordic observational multicentre study. Amer-Wåhlin I, Bördahl P, Eikeland T, Hellsten C, Norén H, Sörnes T, Rosén KG. J Matern Fetal Neonatal Med 2002;12:260-266.
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Cardiotocography only versus cardiotocography plus ST analysis of fetal electrocardiogram for intrapartum fetal monitoring: a Swedish randomised controlled trial. Amer-Wåhlin I, Hellsten C, Norén H, Hagberg H, Herbst A, Kjellmer I, Lilja H, Lindoff C, Månsson M, Mårtensson L, Olofsson P, Sundström AK, Maršál K. Lancet 2001;358:534-38.
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Plymouth randomised trial of cardiotocogram only versus ST waveform plus cardiotocogram for intrapartum monitoring in 2400 cases. Westgate J, Harris M, Curnow JSH, Greene KR Am J Obstet Gynecol, 1993;169:1151-60.
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