Abstract
Fetal well-being during labour is usually evaluated by fetal heart rate monitoring. Fetal blood sampling and analysis (FBS) of fetal acid-base status are very important supplements to this monitoring, but these procedures are invasive only giving discontinuous information. Tissue-pH monitoring is continuous (Weber,1982), but this method is also invasive and because of technical problems with the electrode not applicable for routine monitoring at present. Transcutaneous carbon dioxide (tc-pCO2) monitoring is the only acid-base parameter which can be measured continuously and non-invasively. In previous studies fetal tc-pCO2 has demonstrated a significant correlation to fetal capillary blood pCO2 and to umbilical artery blood pCO2 (Schmidt et al.,1984; Nickelsen et al.,1986).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Nickelsen, C., Thomsen, S. G. and Weber, T.,1985, Continuous acid-base assessment of the human fetus during labour by tissue pH and transcutaneous carbon dioxide monitoring, Br J Obstet Gynaecol 92:220.
Nickelsen, C., Thomsen, S. G. and Weber, T.,1986, Fetal carbon dioxide tension during human labour, Eur J Obstet Gynecol Reprod Biol 22:205.
Nickelsen, C. and Weber, T.,1986, Fetal transcutaneous carbon dioxide monitoring - the effect of different fixation methods, Br J Obstet Gynaecol 93:1268.
Saling, E.,1966, Das Kind im Bereich der Geburtshilfe, Georg Thieme Verlag, Stuttgart.
Schmidt, S., Langner, K., Gesche, J., Dudenhausen, J. W. and Saling, E., 1984, Correlation between transcutaneous pCO2 and the corresponding value of fetal blood - a study at a measuring temperature of 39 °C, Eur J Obstet Gynecol Reprod Biol 17:387.
Schmidt, S., Langner, K., Rothe, J. and Saling, E.,1982, A new combined non-invasive electrode for tc-pCO2 measurement and fetal heart rate recording, J Perinal Med 10:297.
Weber, T.,1982, Cardiotocography supplemented with continuous fetal pH monitoring during labour, Acta Obstet Gynecol Scand 61:351.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Plenum Press, New York
About this chapter
Cite this chapter
Nickelsen, C., Weber, T. (1987). Continuous Fetal Acid-Base Assessment During Labour by tc-pCO2 Monitoring. In: Huch, A., Huch, R., Rooth, G. (eds) Continuous Transcutaneous Monitoring. Advances in Experimental Medicine and Biology, vol 7. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1927-6_23
Download citation
DOI: https://doi.org/10.1007/978-1-4613-1927-6_23
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-9071-1
Online ISBN: 978-1-4613-1927-6
eBook Packages: Springer Book Archive