RESULTS OF CARDIOTOCOGRAPHIC MONITORING OF THE FETUS UNDER DIFFERENT KINDS OF LABOR ANESTESIA

Abstract

The purpose of the study is to identify changes in the cardiotocogram curve (CTG) of the fetus during the use of methods of labor pain relief. Fetal CTG is the primary method for assessing the status of the fetus during labor. Currently, the observation protocol with the use of CTG involves the assessment of the classification of the International Federation of Obstetricians and Gynecologists (FIGO), which distinguishes compensated, doubtful and pathological condition of the fetus. Some authors indicate that the use of intrapartum CTG, especially continuous monitoring increases the number of unwarranted surgical interventions, including cesarean sections.Material and methods: we conducted a prospective study of 117 CTG curves obtained during childbirth. Analysis of 82 cardi-otocograms in women with various anesthesia methods revealed that more than 80% of the curves obtained in childbirth were categorized as doubtful or suspicious, and the relationship between CTG changes and the frequency of birth of children in the state of asphyxia during labor anesthesia was not established. Results of the study showed no evidence of a direct adverse effect on the fetus in case of prolonged epidural anesthesia and / or intravenous administration of Trimeperidine, when curves of doubtful type were most often recorded.