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Figure 2. Scalp electrode (a), connection to skin electrode on the maternal thigh (b) and STAN Machine (c) Why do we need STAN? Cardiotocograph (CTG) has a high false positive rate of over 50%, which implies that if CTG is used alone, it would increase interventions such as emergency caesarean The recording is a standard CTG recording. These cases are being presented to provide additional learning opportunities and demonstrate the use of STAN and ST STAN S41 STAN S41 – a complete, compact and portable CTG device with integrated printer and the capacity for integrated telemetry. Stan S31 is also important because it is a continuous monitoring device, unlike pH measurements in fetal blood, which require contact with the fetal scalp. The STAN machine consists of a monitor showing the fetal CTG and analysis of fetal ECG continuously.

Figure 2.

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These cases are being presented to provide additional learning opportunities and demonstrate the use of STAN and ST Analysis. They are not intended to be a substitute for the product manuals or instructions for use, CTG Case 24.

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the name of med Rage against the machine och jag känner att jag är redo för att föda​! During the active phase of labour fetal surveillance with continuous CTG with or without ST segment analysis (STAN) in combination with foetal scalp blood sampling is recommended.


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The STAN technology is not just a machine, it is a concept. A strong focus is on education, training, and interpretation. There are pitfalls with the concept, including poor signal control, too late application of STAN, subjectivity of CTG interpretation and classification, and inter‐professional communication. STAN combines standard CTG monitoring with concurrent assessment of the fetal ECG. A normal ECG complex is shown in Figure 1.

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Scalp electrode (a), connection to skin electrode on the maternal thigh (b) and STAN Machine (c) Why do we need STAN? Cardiotocograph (CTG) has a high false positive rate of over 50%, which implies that if CTG is used alone, it would increase interventions such as emergency caesarean The recording is a standard CTG recording.