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Title: The clinical use of computer - assisted cardiotocography in choosing methods of delivery


In PhD dissertation, the diagnostic possibilities and predictive values of digital cardiotocography, by means of the analysis of digital recordings, and their particular parameters were evaluated. The examined group consisted 177 pregnant women, who underwent cardiotocogaphic test just before the labour. The tests were preformed in Saint Anna Hospital in Miechów from January 1 st 2001 till May 31 st 2004. Values of digital recordings were analysed on the basis of criteria defined by FIGO in 1987 typical for classical cardiotocography, and the criteria described by Dawes G. and Redman C. including variability of Fetal Heart Rate. The comparison showed that the analysis of digital recordings according to the criteria defined by Dawes and Redman possesses higher predictive values: • sensitivity - value higher by 21, 1 %, • specification- value higher by 41,2%, • positive predictive value - value higher by 44,3%, • negative predictive value - value higher by 6,8%. The following conclusions were drawn on the basie of examinations: 1. In comparison to the classical cardiotocography, digital analysis of cardiotocographic recording is characterised by higher predictive value. 2. The method described by Dawes and Redman 1s more advantageous alternative of assessing digital cardiotocographic parameters when compared to the criteria defined by FIGO. 3. The informat ; ion content of digital cardiotocographic recording allows to take advantage of cardiotocographic values in clinical practice, scientific researches, statistical analyses and cases of legal and civil actions. 4. System of cardiotocographic analysis may be a useful tool in evaluating intrauterine condition of the fetus in the first stage of perinatal care.

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2 - studia doktoranckie

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Wydział Lekarski


Reroń, Alfred

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Last modified:

Jul 18, 2022

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Nov 21, 2012

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ZB-101440 Jul 18, 2022


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