STAN AT 12; A CRITICAL ANALYSIS!!
Harris E. Phillip*, Hagir Shalal, Dr. Amal Aburawi and Prof. Ali Nakash
ABSTRACT
The purpose of this critical analysis was to review the usefulness of STAN in intrapartum surveillance. This review was based on a survey of the relevant literature including review articles during the decade from 2011 to 2021. We perused several data bases including CINAHL, PubMed, and Cochrane, using search terms like intrapartum surveillance, Intrapartum foetal hypoxia, Detection of intrapartum Hypoxic ischaemic encephalopathy and STAN. More than 100 articles were recovered among which were six review articles. The scope of the paper included a deliberate effort to identify any published literature on STAN in the decade from 2011 to 2021. We were desirous of knowing whether STAN has had a significant or any impact on neonatal outcome and whether STAN was fit for purpose, we were also curious in understanding the cellular based physiology which would lend credence to the way it is thought to function. Results: We found that neither the National Institute of Health and Clinical Excellence (NICE) nor the Royal College of Obstetricians and Gynaecologists recommended its use. Further search of the literature allowed us to conclude that the evidence supporting its usefulness is weak. So, whereas STAN involves increased mechanisation, is invasive and cannot function independently; has led us to believe that its usefulness if any is limited. We believe, therefore that STAN as a monitoring tool should be archived as and should be allowed no place in the clinical space of the British labour ward.
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