Interpretación del monitoreo electrónico intraparto mediante análisis computarizado versus análisis visual en la acidemia fetal.

Abstract

Fetal electronic monitoring is still the only tool for the detection of acidemia, hypoxia, however it has not been possible to reduce the incidence of fetal hypoxia morbidity and mortality with this test, which has led to several criteria in the interpretation of monitoring Given these by a visual analysis or computerized analysis, it should be taken into account that none of these tools alone has demonstrated a specificity for acidemia, another inconvenience that health professionals have when their interpretation is that despite have some guides that are updated every year, none of them reach a consensus regarding the classification of decelerations making it even more difficult to understand them. Objective: To compare the type of fetal monitoring that more accurately detects acidemia and hypoxia through the collection of scientific articles on the visual or computer analysis of this biophysical study. Method: This systematic study was conducted a database search: ScienceDirect, Springer, Redalyc, Medline, Google academic, 5 years ago. It is worth mentioning that this search included descriptive cohort studies, case studies and controls. randomized control trials. Conclusion: It can be concluded in this study that the statistics of hypoxic-ischemic encephalopathy continues to affect neonates throughout the world, without significantly reducing this problem, which aimed to reduce this pathology after the introduction of Electronic Fetal Monitoring, so I think that a single method should not be used for the diagnosis of acidemia, if not combine them to reduce the number of acidemic babies