The accuracy of catheter-tip pressure transducers for the measurement of intrauterine pressure in labour

Authors

  • S. CHUA,

    Lecturer, Corresponding author
    1. Department of Obstetrics & Gynaecology, National University Hospital, Lower Kent ridge Hospital, Singapore 0511
      S. Chua.
    Search for more papers by this author
  • S. ARULKUMARAN,

    Associate Professor
    1. Department of Obstetrics & Gynaecology, National University Hospital, Lower Kent ridge Hospital, Singapore 0511
    Search for more papers by this author
  • M. YANG,

    Senior Resident
    1. Department of Obstetrics & Gynaecology, National University Hospital, Lower Kent ridge Hospital, Singapore 0511
    Search for more papers by this author
  • S. S. RATNAM,

    Professor and Head of Department
    1. Department of Obstetrics & Gynaecology, National University Hospital, Lower Kent ridge Hospital, Singapore 0511
    Search for more papers by this author
  • P. J. STEER

    Professor and Head of Department
    1. Department of Obstetrics & Gynaecology, Charing Cross and Westminster Medical School, West London Hospital, Hammersmith Road, London W6 7DQ
    Search for more papers by this author

S. Chua.

ABSTRACT

Objective To assess the reliability of intrauterine pressure measurements in labour with transducer tipped catheters.

Design Prospective clinical study.

Setting Delivery ward, National University Hospital, Singapore.

Subjects 20 women admitted in early labour were randomly allocated to two groups.

Interventions Women in the first group had two catheters that had been tied together introduced transcervically into the same amniotic fluid pocket. The second group had two catheters introduced in different directions so that each catheter tip was in a different pocket of amniotic fluid.

Main outcome measure The contraction to contraction pressure difference recorded by the two catheters in the same uterus. In addition, the cumulative uterine active pressure generated by one catheter was compared with that of the other.

Results There were differences in peak pressure of up to 4–5.3 kPa (30–40 mmHg) during some contractions. The difference in pressure recordings between the two catheters could not be explained by effects of loculation of amniotic fluid. However, the pressures recorded were not systematically higher in one catheter than in the other. Cumulative uterine activity was very similar when assessed by each catheter in the same uterus.

Conclusion Intrauterine pressure measurements using transducer tipped catheters provide reliable information on the cumulative pressure wherever the catheter tip was sited in the uterus, but there are variations in pressures recorded during individual contractions.

Ancillary