Acceptability of the fetal electrocardiographic (STAN) monitoring system by staff at a high risk maternity unit

J Perinat Med. 2010 Mar;38(2):187-90. doi: 10.1515/jpm.2010.023.

Abstract

Aims: To assess staff acceptability of STAN monitoring system.

Methods: This was a prospective study of health care professionals involved in the first 18 months of STAN use at a high risk maternity unit.

Results: During the study period 75% of midwives and 80% of doctors questioned felt confident when interpreting STAN cases. A total of 88% of midwives and 90% of doctors felt adequately supported in their actual clinical use of the system. Of all the obstetricians who used the STAN, 95% felt it was an acceptable alternative to fetal blood sampling. One of the main complaints was poor signal quality which occurred in 16% of cases. As many as 97% of doctors and 96% of midwives considered STAN to be an acceptable way of monitoring high risk women after its introduction.

Conclusions: Introduction of a new monitoring system to a high risk labor ward is possible, and acceptable to its staff. Constant practical and theoretical support and adherence to strict, easily understood guidelines is required.

MeSH terms

  • Attitude of Health Personnel
  • Electrocardiography / instrumentation
  • Electrocardiography / methods*
  • Female
  • Fetal Monitoring / methods*
  • Fetus
  • Heart Rate, Fetal / physiology*
  • Humans
  • Infant, Newborn
  • Midwifery
  • Physicians
  • Pregnancy
  • Prospective Studies
  • Surveys and Questionnaires