Near-infrared spectrometry in pregnancy: progress and perspectives, a review of literature

Abstract

Near-infrared spectroscopy (NIRS) allows continuous noninvasive monitoring of in vivo oxygenation in selected tissues. It has been used primarily as a research tool for several years, but it is seeing wider application in the clinical arena all over the world. It was recently used to monitor brain circulation in cardiac surgery, carotid endarteriectomy, neurosurgery and robotic surgery. According to the few studies used NIRS in pregnancy, it may be helpful to assess the impact of severe forms of preeclampsia on brain circulation, to evaluate the  efficacy of different treatments. It may also be used during cesarean section to detect earlier sudden  complications. The evaluation of placental function via abdominal maternal approach to detect fetal growth restriction is a new field of application of NIRS.

Key words: Near-Infrared Spectrometry, pregnancy, preeclamsia, cesarean section