Home labour induction with retrievable prostaglandin pessary and continuous telemetric trans-abdominal fetal ECG monitoring

Zubair Rauf, Ediri O'Brien, Tamara Stampalija, Florin P. Ilioniu, Tina Lavender, Zarko Alfirevic

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objective: To evaluate the feasibility of continuous telemetric trans-abdominal fetal electrocardiogram (a-fECG) in women undergoing labour induction at home. Study Design: Low risk women with singleton term pregnancy undergoing labour induction with retrievable, slow-release dinoprostone pessaries (n = 70) were allowed home for up to 24 hours, while a-fECG and uterine activity were monitored in hospital via wireless technology. Semi-structured diaries were analysed using a combined descriptive and interpretive approach. Results: 62/70 women (89%) had successful home monitoring; 8 women (11%) were recalled because of signal loss. Home monitoring lasted between 2-22 hours (median 10 hours). Good quality signal was achieved most of the time (86%, SD 10%). 3 women were recalled back to hospital for suspicious a-fECG. In 2 cases suspicious a-fECG persisted, requiring Caesarean section after recall to hospital. 48/51 women who returned the diary coped well (94%); 46/51 were satisfied with home monitoring (90%). Conclusions: Continuous telemetric trans-abdominal fetal ECG monitoring of ambulatory women undergoing labour induction is feasible and acceptable to women.

Original languageEnglish
Article numbere28129
JournalPLoS One
Volume6
Issue number11
DOIs
Publication statusPublished - Nov 28 2011

Fingerprint

Pessaries
Induced Labor
Fetal Monitoring
Electrocardiography
prostaglandins
Prostaglandins
labor
Personnel
Monitoring
monitoring
electrocardiography
Dinoprostone
wireless technology
Wireless Technology
cesarean section
Cesarean Section
experimental design
pregnancy
Pregnancy

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Home labour induction with retrievable prostaglandin pessary and continuous telemetric trans-abdominal fetal ECG monitoring. / Rauf, Zubair; O'Brien, Ediri; Stampalija, Tamara; Ilioniu, Florin P.; Lavender, Tina; Alfirevic, Zarko.

In: PLoS One, Vol. 6, No. 11, e28129, 28.11.2011.

Research output: Contribution to journalArticle

Rauf, Zubair ; O'Brien, Ediri ; Stampalija, Tamara ; Ilioniu, Florin P. ; Lavender, Tina ; Alfirevic, Zarko. / Home labour induction with retrievable prostaglandin pessary and continuous telemetric trans-abdominal fetal ECG monitoring. In: PLoS One. 2011 ; Vol. 6, No. 11.
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