臨床婦人科産科70巻7号

2016年07月発行

今月の臨床 胎児心拍数モニタリング　パーフェクトマスター

Overview

胎児心拍数モニタリング発展の歴史

著者： 濵田真一¹ 土田充¹ 村田雄二¹

所属機関： ¹ベルランド総合病院産婦人科

ページ範囲：P.570 - P.577

文献概要

●胎児心拍数モニタリングの歴史は，臨床における胎児心拍数波形の形態的な分類から始まった．

●その後，数々の基礎的な実験によって，各パターンの生理学的意義が裏打ちされ，臨床的意義も認められるようになった．

●胎児心拍数モニタリングを行うことで，周産期および新生児予後が改善されることが期待されたが，新生児神経障害の発生を予防することはできず，帝王切開などの産科的介入の頻度が増加した．

●胎児心拍数モニタリングは，胎児がアスフィキシアであると正しく判断する精度（陽性的中率）は低いが，そうでないと正しく判断する精度（陰性的中率）は非常に高い特性がある．

参考文献

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