Longitudinal study of computerized cardiotocography in early fetal growth restriction.
Hans WolfB ArabinChristoph C LeesD OepkesF PrefumoB ThilaganathanT TodrosG H A VisserCaterina M BilardoJ B DerksA DiemertJ J DuvekotE FerrazziT FruscaKurt HecherN MarlowPasquale MartinelliE OstermayerA T PapageorghiouH C J ScheepersD SchlembachK T M SchneiderA ValcamonicoA van Wassenaer-LeemhuisWessel J Ganzevoortnull nullPublished in: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology (2017)
The TRUFFLE study showed that a strategy of DV monitoring with safety-net criteria of very low STV and/or recurrent FHR decelerations for delivery indication could increase 2-year infant survival without neurological impairment. This post-hoc analysis demonstrates that, in early FGR, the daily risk of abnormal CTG, as defined by the DV group safety-net criteria, is 5%, and that prediction is not possible. This supports the rationale for CTG monitoring more often than daily in these high-risk fetuses. Low STV and/or recurrent FHR decelerations were not associated with adverse infant outcome and it appears safe to delay intervention until such abnormalities occur, as long as DV-PI is within normal range. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.