ST waveform analysis vs cardiotocography alone for intrapartum fetal monitoring: An updated systematic review and meta-analysis of randomized trials.

ABSTRACT:

Introduction

ST waveform analysis (STAN) was introduced as an adjunct to cardiotocography (CTG) to improve neonatal and maternal outcomes. The aim of the present study was to quantify the efficacy of STAN vs CTG and assess the quality of the evidence using GRADE.

Material and methods

We performed systematic literature searches to identify randomized controlled trials and assessed included studies for risk of bias. We performed meta-analyses, calculating pooled risk ratio (RR) or Peto odds ratio (OR). We also performed post hoc trial sequential analyses for selected outcomes to assess the risk of false-positive results and the need for additional studies.

Results

Nine randomized controlled trials including 28 729 women were included in the meta-analysis. There were no

SUBMITTER: Blix E 

PROVIDER: S-EPMC10867373 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature