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The method is intended for fetal mon- itoring during childbirth when it has been determined that Daarom bieden wij u in-hospital een drie uur durende STAN-cursus aan. Deze cursus richt zich zowel op huidige als toekomstige STAN-gebruikers. Tijdens de opleiding wordt dieper ingegaan op de fysiologie van het CTG en het foetale ECG, de CTG-analyse volgens de richtlijnen en de STAN-methode. Anvendelse at føtal ST-analyse (STAN) sammen med CTG og skalp-pH kan nedbringe antallet af nyfødte med metabolisk acidose og samtidig nedbringe antallet af instrumentelle forløsninger på mistanke om asfyksi under fødslen af mature børn. 2006-06-20 ST waveform analysis of fetal electrocardiogram (ECG) for intrapartum surveillance (STAN) is a newly introduced method for fetal surveillance. The purpose of this commentary is to assist in the proper use of fetal ECG in combination with cardiotocography (CTG) during labour. The Stan method There are two methods that complement CTG in order to provide more accurate information for assessing whether the fetus is suffering from lack of oxygen or not.

In totaal gaat het om drie mogelijke ST-events: Let Stan generate random initial values for all parameters. The seed of the random number generator used by Stan can be specified via the seed argument.

Standard CTG has a high specificity for classification of normality and severe pathological traces. That is why we have developed the STAN Method, an unique analysis tool for fetal monitoring. The combination of ST-Analysis and standard CTG parameters provides extended and more accurate information about the fetus during labour than CTG alone.

This applies to an estimated 20 percent of all deliveries. STAN combines standard CTG monitoring with concurrent assessment of the fetal ECG. A normal ECG complex is shown in Figure 1. STAN Method STAN Method – introduction This is an online case library of real life CTG recordings, both with and without ST Analysis.

This is an online case library of real life CTG recordings, both with and without ST Analysis. The recordings include clinical background, outcome information and expert comments, and are therefore ideal for training and education. Please note that the personally identifiable data has been removed from the recordings. www.stancases.com

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CardioTocoGraphy (CTG = detection of fetal heart rate pattern and maternal uterine contractions via electrodes on the maternal abdomen and fetal scalp) is a widely used method of fetal surveillance. However, it can be difficult to interpret a CTG, and uncertainty in CTG interpretation may therefore lead to increase in the number of deliveries with vacuum suction and caesarean section. BACKGROUND: Computerized ST analysis of fetal electrocardiography (ECG) combined with cardiotochography (CTG) has been introduced for intrapartum monitoring and is the prevailing method when ST analysis (STAN®) is used. Automated ST analysis of the foetal electrocardiogram (STAN method), combined with the CTG, may lead to reduction of metabolic acidosis, fewer interventions and fewer foetal blood samples. A disadvantage of application of the STAN method is that it is based on visual interpretation of the CTG, with large inter- and intraobserver variability. 1.
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ST waveform analysis in addition to CTG has the potential to give significant benefits in reducing operative deliveries for foetal distress and reducing the incidence of metabolic acidosis. However, this will depend on the appropriate education and use of STAN according to the guidelines Once the CTG is classified using the STAN Guidelines into normal, intermediary or Abnormal, the size and magnitude of the ST Events should be noted. In the presence of a Normal CTG or pre-terminal CTG, ST Events should be discarded and labour continued in the former and immediate delivery carried out in the latter. The STAN ® recorder performs the fetal ECG analysis automatically, but the method still requires the CTG to be interpreted by the clinician, as illustrated by some cases of perinatal death. Naturally, intervention must also be based on the stage of labor and additional clinical information.

The recordings include test.
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STAN Cases is an online case library of real life CTG recordings, both with and without ST analysis. The recordings include clinical background, outcome information, and expert comments, and are therefore ideal for training and education. Please note that the personally identifiable data has been removed from the recordings. Recent CTG cases

Het toestel is bedoeld om een dreigend zuurstoftekort tijdens de arbeid sneller op te sporen. Wij hopen dat de nieuwe STAN® recorder het vermogen van de gebruiker om de fysiologische reacties van de foetus durante partu te interpreteren zal verbeteren.