Neonatal outcome and delivery mode in labors with repetitive fetal scalp blood sampling.
作者： Malin Holzmann , Stina Wretler , Sven Cnattingius , Lennart Nordström
DOI: 10.1016/J.EJOGRB.2014.11.012
关键词:
摘要: Abstract Objective To investigate if repeat (≥3) fetal scalp blood sampling (FBS) is associated with increased risk of caesarean delivery and worse neonatal outcome than occasional (1–2) FBS. Study design Prospective cohort study women undergoing intrapartum FBS at Karolinska University Hospital, Sweden. lactate analysis was performed the attending doctor found cardiotocography (CTG) tracing suspicious or abnormal. Lactate concentration measured bedside. As a routine in all deliveries, acid-base analyses were on umbilical artery vein immediately after delivery. Main measures metabolic acidemia delivery, Apgar score Results During period there 2134 FBSs 1070 laboring median two samplings (range 1–8). There no differences Conclusion Fetal monitoring repetitive during labors CTG changes safe for baby, but rate doubled as compared to where 1–2 are needed. Still, more 50% will be delivered vaginally, 1/3 these spontaneously.
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