Monitoring fetal electroencephalogram intrapartum: a systematic literature review 1 2 3 4 2 Aude Castel , Yael S. Frank , John Feltner , Floyd Karp , Catherine M. Albright , Martin G. Frasch2,5* 1 Dept. of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, QC, Canada 2 Dept. of Obstetrics and Gynaecology, University of Washington, Seattle, WA, USA 3 Dept. of Pediatrics, University of Washington, Seattle, WA, USA 4 School of Pharmacy, University of Washington, Seattle, WA, USA 5 Center on Human Development and Disability, University of Washington, Seattle, WA, USA * Correspondence: Martin G. Frasch Department of Obstetrics and Gynecology University of Washington 1959 NE Pacific St Box 356460 Seattle, WA 98195 Phone: +1-206-543-5892 Fax: +1-206-543-3915 Email:
[email protected] Keywords: EEG, labor, fetus, neonates, infant, magnetoencephalogram, electrocorticogram. Word count: 9769 Abstract Background: Studies about the feasibility of monitoring fetal electroencephalogram (fEEG) during labor began in the early 1940s. By the 1970s, clear diagnostic and prognostic benefits from intrapartum fEEG monitoring were reported, but until today, this monitoring technology has remained a curiosity. Objectives: Our goal was to review the studies reporting the use of fEEG including the insights from interpreting fEEG patterns in response to uterine contractions during labor. We also used the most relevant information gathered from clinical studies to provide recommendations for enrollment in the unique environment of a labor and delivery unit. Data sources: PubMed. Eligibility criteria: The search strategy was: ("fetus"[MeSH Terms] OR "fetus"[All Fields] OR "fetal"[All Fields]) AND ("electroencephalography"[MeSH Terms] OR "electroencephalography"[All Fields] OR "eeg"[All Fields]) AND (Clinical Trial[ptyp] AND "humans"[MeSH Terms]).