Neoventa values safe obstetric care

Obstetric care is a high risk area where the requirements for patient safety are considered extra high. Women who have had a trouble-free, completely normal pregnancy can suddenly end up in an emergency situation during labour with increasing risks for both mother and child. The purpose of fetal monitoring is to keep the risk of emergency situations to a minimum. The innovative company Neoventa Medical is working to reduce these risks and increase the number of normal births without Caesarean section (C-section) by marketing the so called Stan method.

Neoventa is a Swedish company focusing on products that improve obstetric care. The product portfolio consists of fetal monitoring solutions and services, including training and education of obstetric health care providers. As an example, Neoventa has developed a training program in CTG interpretation that is currently used in all obstetric clinics in Sweden.

The purpose of fetal monitoring
The purpose of fetal monitoring during labour is to prevent oxygen deficiency that can lead to fetal death or serious brain damage. CTG has been used for over 40 years and is currently the most common fetal monitoring method. CTG monitors the fetus’ heartbeat so that the midwife and the doctor can see how these change with contractions.
The fetus’ pulse can be affected by factors other than lack of oxygen. Most people who work in obstetrics agree that CTG does not give enough information and therefore needs to be complemented with other methods to avoid unnecessary risks and unnecessary operative interventions like a C-section.

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. One method involves taking blood samples from the fetal scalp, another to add a curve showing the fetal ECG – which is the so called Stan method. The blood sample must be taken at regular intervals, whereas the Stan method gives a continuous flow of information by using the same electrodes as for CTG.
By combining all three techniques, physicians are given a better overview of the labour process, which in turn grants significantly higher safety for mother and child. Physician Håkan Norén at the Sahlgrenska University Hospital in Gothenburg explains that “Since we started using the Stan method, the number of children that are oxygen-deprived at birth has decreased to almost zero at our clinic”.

Stan method reduces emergency C-sections
The Stan method was introduced in the labour and delivery ward at Sahlgrenska University Hospital twelve years ago. Today, it is as widely applied as ECG is during any other intervention or treatment in the hospital. Håkan Norén continues: “Virtually all births here are monitored using the Stan method today. Obstetric care needs a method that reduces the number of emergency operative interventions like C-sections to decrease the risk for mother and baby”.
Emergency C-sections are often performed unnecessarily with the motivation that it is for safety's sake. Dr. Norén believes that there should be a balance in the use of C-sections, since it is a stressful and not a risk-free procedure for neither mother nor child. “Applying the Stan method in combination with CTG and scalp blood sampling is a good start”, he concludes. “With the Stan method we have lowered our overall emergency intervention rate during labour”.

Widely implemented
The Stan method is used in a majority of Swedish hospitals and in up to 90 per cent of obstetric clinics in Norway, Belgium and Denmark. The method was first developed in Sweden and research has been carried out in many European countries. A large study is now on-going in the United States to verify the method and make it standard procedure throughout the American maternity care system as well.


Life Science SNL 2013-1 - Affärstidningen Näringsliv

Näringsliv 2013-1

Huvudtema: Life Science
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