Norsk referensgrupp ifrågasätter Stockholmsrapport om Stan-metoden

Mölndal, Juni 2012
I nästa nummer av Acta Obstetricia et Gynecologica Scandinavica publiceras en artikel där Norsk Gynekologisk Förenings referensgrupp för fosterövervakning ifrågasätter Stockholms Läns Landstings HTA-rapport som kritiserade användning av Stan-metoden. Enligt den norska referensgruppen är HTA-rapporten framför allt behäftad med två allvarliga brister;
För det första refererar den till ett subjektivt urval av evidens för klinisk användning av Stan-metoden. HTA-rapporten har, utan närmare motivering, valt att bortse från vissa Stan studier och flera publicerade kliniska studier har helt …

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Norwegian reference group questions Stockholm report on the Stan method

Mölndal, June 2012
In the next issue of Acta Obstetricia et Gynecologica Scandinavica an article will be published in which the Norwegian Society for Gynecology and Obstetrics’ reference group for fetal monitoring questions the Stockholm County Council HTA report that criticized the use of the Stan-method. According to the Norwegian reference group the HTA report mainly suffers from two serious shortcomings;
Firstly, it refers to a subjective choice of evidence for the clinical use of the Stan method. Without …

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Customer Success Story: Interview with Susanna Timonen MD PhD, Consultant in Ob/Gyn at Turku University Hospital, Finland.

You were one of the very first centres that started to use Stan and ST Analysis.
Yes, Professor Risto Erkkola, now retired since two years, was a pioneer. We got our first Stan device already around 1995, before the analysis of the waveform was automatic and before the Stan Guidelines were formalized.
Then in 2000 you joined the study sponsored by the European Union?
We got our first two Stan S21 devices and it was a great relief to have …

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Strict adherence to Stan Guidelines leads to improved outcome

In this sub-analysis of the Dutch randomised trial it is shown that cases with adverse outcome in the index group (CTG+ST analysis) could have been avoided by stricter adherence to Stan guidelines. Improved CTG interpretation and timing of fetal blood sampling could have led to better outcomes in the control group.

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Patient safety – Stan in the spotlight!

Stan and the Stan method in focus in the Swedish newspaper Svenska Dagbladets insert about Patient safety and a safer healt care.
Read about Stan and the Stan method on page 5 and 13.
Click here to read the insert (the text is in Swedish)
 
 

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A review in Oman Medical Journal

ST Analysis of the Fetal ECG, as an Adjunct to Fetal Heart Rate Monitoring in Labour: A Review
Tahira Kazmi, Forough Radfer, and Sultana Khan. Oman Med J. 2011 November; 26(6): 459–460.
 
Click here to read the article

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Poster at SMFM: Significantly improved outcomes over 10 years of STAN usage in Turku

Dr. Timonen from Turku University Hospital, Finland presented a poster with their experience of ST Analysis at the recent Society for Maternal- Fetal Medicine (SMFM) congress in Dallas USA. The rate of metabolic acidosis was reduced by 79% when the first four years of ST Analysis usage were compared to the six following years in patients monitored with CTG+ST. During the same period the number of fetal scalp blood measurements was substantially reduced as well as the rate of total cesarean …

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No risk associated with high baseline T/QRS ratio

In the European Stan Expert meeting in 2009, the interpretation of a high baseline T/QRS ratio at the start of a registration was discussed since some cases with high baseline T/QRS followed by metabolic acidosis had been encountered. The baseline T/QRS is the absolute value of the T/QRS ratio at the start of a Stan recording, and is currently only used for comparison with later changes indicating a rise in the T-wave of the fetal ECG.

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Meta-Analysis concludes benefits of ST Analysis

The objective of this meta-analysis, which includes five randomised trials (RCT) and 15,352 patients, was to compare the effects of adding ST Analysis to conventional intrapartum CTG. The included RCT’s evaluated singleton term pregnancies in cephalic presentation and the meta-analysis was performed on results for metabolic acidosis, fetal blood sampling, mode of delivery, Apgar score and neonatal care. For three of the studies, published corrected data were used and the meta-analysis could be performed on all data according to the intention-to-treat principle.

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New article: Northwestern Researchers Trial New Device That May Support Improved Newborn Health

Medical News Today published an article about the Stan Clinical trial in the US, Northwestern Researchers Trial New Device That May Support Improved Newborn Health
Click here to read the article

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