A clinical study on fetal electrical monitoring during total labor course

Objective To investigate the clinical value of fetal electronical monitoring during total labor course(FEMTLC) for the early diagnosis of fetal distress.Methods 368 primigravidea who had deliveried during 2001.6～2003.6 in Nanshan obstetric and gynecology hospital were administered FEMTLC(study group),350 primigravidae who had deliveried during 2000.1～2002.12 in the same hospital had received normal observe labor course(control group).Results The incidence of fetal distress in the study group was significantly higher than that in the control group(P0.05,13.9% vs 8.9%).The incidence of neonatal asphyxia in the study group was much lower than that in the control group(P0.05,2.4% vs 5.4%).The cesarean section rates were 17.7% and 20.3% respectively.There was no significant difference between the two groups(P0.25).The incidences of amnionic fluid polutions,neonatal asphyxia and cesarean section rates in CST or OCT positive group were significantly higher than that in the CST or OCT negative group(P0.01).Conclusion FEMTLC has high clinical value in detecting fetal distress.It can decrease the rate of neonatal asphyxia,while it doesn't enhance the rate of cesarean section.