A pilot exploratory investigation on pregnant women’s views regarding STan fetal monitoring technology.

A clear communication between maternity care providers and women about technology use in intrapartum care is of great value. This research is now being used to inform the implementation of the first properly powered Australian randomised trial comparing ST Analysis and CTG monitoring.

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New FIGO and Swedish intrapartum cardiotocography classification systems incorporated in the fetal ECG ST analysis (STAN) interpretation algorithm:

agreements and discrepancies in cardiotocography classification and evaluation of significant ST events.

Olofsson P1, Norén H2, Carlsson A2.

1. Institution of Clinical Sciences Malmö, Lund University, Malmö.
2. Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.

Abstract

The updated intrapartum cardiotocography (CTG) classification system by FIGO in 2015 (FIGO2015) and the FIGO2015-approached classification by the Swedish Society of Obstetricians and Gynecologist in 2017 (SSOG2017) are not harmonized with the fetal ECG ST …

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STAN clinical guidelines and the new FIGO CTG classification system

In 2015 the International Federation of Gynecology and Obstetrics (FIGO) presented a new classification system for interpretation of intrapartum CTG, replacing the old system from 1987. The new system is a 3-tier classification system instead of a 4-tier, where the preterminal CTG class has been omitted. Furthermore, the definitions of tachycardia and decelerations, and time durations of abnormal variability have been changed. All this with the aim to create a simple and more objective CTG classification system.
The new FIGO …

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Press Release: Neoventa Introduces the STAN S41, Fetal Heart Monitor

Mölndal, Sweden – May 23, 2017: Scandinavian medtech pioneers, Neoventa, today announced their new STAN S41, Fetal Heart Monitor.
The STAN S41 was developed in collaboration with Sunray Medical Apparatus Co., Ltd, and is the only CTG (cardiotocograph) monitor in the world that incorporates ST Analysis.
ST Analysis is an evidence based method that gives you a continuous and central message from the fetal heart during labour. “It is a great support for the obstetric staff and provides, ‘a second pair of …

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Explore the new STAN!

Please visit us at the 3rd European Congress on Intrapartum Care (ECIC) at Karolinska Institutet,  25-27 May in Stockholm
The ECIC congress gives you a unique opportunity for all healthcare professionals working in the labor ward to meet each other and is strongly focused on evidence-based practice and aims to support excellence in all aspects of labour management.
Please come and see us in our booth where we, for the first time, will present our new STAN!
Booth no: 15 & 16
We …

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STAN and the new FIGO consensus guidelines on intrapartum CTG monitoring

The International Federation of Gynecology and Obstetrics (FIGO) presented in 2015 an updated intrapartum CTG classification system to replace the system from 1987. The CTG classification used in the STAN CTG+ST interpretation algorithm is basically a modified version of the FIGO 1987 classification system. The new FIGO system differs from the CTG classification used with STAN in the definitions of a normal FHR baseline, normal variability, variable decelerations, repetitiveness of decelerations, and the number of CTG classes. The new FIGO …

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Fetal Electrocardiograph (ST-Analyser or STAN) for intrapartum fetal heart rate monitoring: a friend or a foe?

Chandraharan E
1.a Labour Ward Lead Consultant and Lead for Clinical Governance , St. George’s University Hospitals NHS Foundation Trust, St George’s University of London, London, UK.
Abstract
Cardiotocograph (CTG) is associated with a high false positive rate of up to 60% which may increase the risk of unnecessary intrapartum interventions (emergency caesarean sections or operative vaginal deliveries) without any significant benefits. A recent study on variation of caesarean section rates in England has concluded that there was a very …

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STAN S31 CMS interconnection guide

This guide is intended to provide basic installation and troubleshooting instructions for connecting a STAN S31 fetal monitor to a 3’rd party Central Monitoring System communicating over RS-232.

In case you need to contact technical support during installation and troubleshooting, please have the following information ready

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Swedish study investigates discrepancies between CTG classification systems, and the impact on ST event significance.

The STAN Clinical Guidelines classification system of cardiotocography (CTG) [1] is originally based on the FIGO classification system from 1987 [2]. In October 2015, the FIGO Intrapartum Fetal Monitoring Expert Consensus Panel presented their new CTG intrapartum classification system (FIGO2015) [3] (Table 1).
Table 1. The FIGO2015 intrapartum cardiotocography (CTG) classification system [3] in summary.

*) Decelerations are repetitive if they occur at >50% of uterine contractions.
a) Accelerations (amplitude >15 bpm, lasting >15 s …

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Why was a meta-analysis performed with primary endpoints considered clinically unimportant?

Letter to the Editor accepted in AOGS regarding the latest Meta Analysis:
Why did the authors perform a meta-analysis of studies with primary endpoints they consider clinically unimportant?
Kessler et al. 2016
DOI: 10.1111/aogs.12876
 
ABSTRACT
The meta-analysis of Blix et al. on ST waveform analysis (STAN) (1) confirmed the results of a previous meta-analysis (2). Their conclusions, however, are based on presuppositions that are highly questionable. The systematic review by Blix et al. (1) was prompted by a recently published American RCT …

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