The effect of caput succedaneum on oxygen saturation measurements
Article first published online: 19 AUG 2005
DOI: 10.1111/j.1471-0528.1990.tb02518.x
Issue
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BJOG: An International Journal of Obstetrics & Gynaecology
Volume 97, Issue 6, pages 493–498, June 1990
Additional Information
How to Cite
JOHNSON, N., JOHNSON, V. A., BANNISTER, J. and LILFORD, R. J. (1990), The effect of caput succedaneum on oxygen saturation measurements. BJOG: An International Journal of Obstetrics & Gynaecology, 97: 493–498. doi: 10.1111/j.1471-0528.1990.tb02518.x
Publication History
- Issue published online: 19 AUG 2005
- Article first published online: 19 AUG 2005
- Received 12 June 1989; Accepted 5 January 1990
- Abstract
- References
- Cited By
Summary. Advances in oximetry have allowed the obstetrician to measure oxygen saturation in the fetus with non-invasive transcutaneous techniques. The influence of caput succedaneum formation on the oxygen saturation results obtained with a pulse oximeter was studied in 30 newborn infants. Caput was associated with a reduced oxygen saturation reading (mean reduction of 15%; P<0.001). This effect is partly due to a true drop in local tissue oxygenation but is exacerbated by a systematic error intrinsic to the physics of spectrophotometry. If continuous intrapartum oximetry is ever to become a part of routine obstetric monitoring then probes that pass through the cervix beyond the caput of the presenting part will be required if erroneously low readings are to be avoided.

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