Intrapartum fetal scalp lactate sampling for fetal assessment in the presence of a non-reassuring fetal heart rate trace

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Intrapartum fetal scalp lactate sampling for fetal assessment in the presence of a non-reassuring fetal heart rate trace.

BACKGROUND Fetal blood sampling for lactate estimation may be considered following identification of an abnormal or non-reassuring fetal heart rate pattern. The smaller volume of blood required for this test, compared with the more traditional pH estimation, may improve sampling rates. The appropriate use of this practice mandates systematic review of its safety and clinical effectiveness prior...

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Vibroacoustic stimulation for fetal assessment in labour in the presence of a nonreassuring fetal heart rate trace.

BACKGROUND Fetal vibroacoustic stimulation is a simple, non-invasive technique where a device is placed on the maternal abdomen over the region of the fetal head and sound is emitted at a predetermined level for several seconds. It is hypothesized that the resultant startle reflex in the fetus and subsequent fetal heart rate acceleration or transient tachycardia following vibroacoustic stimulat...

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Automatic Analysis of Intrapartum Fetal Heart Rate

Doctoral thesis statement for obtaining the academic title of " Doctor " , Resume 23 Shrnutí 24 1 1 Problem introduction Fetal heart activity is the prominent source of information about the fetal well being during delivery. Cardiotocography (CTG) – recording of fetal heart rate (fHR) and uterine contractions (TOCO) enables obstetricians to detect possible ongoing fetal hypoxia, which may occur...

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Accuracy of intrapartum fetal blood gas analysis by scalp sampling

Fetal blood gas analysis (FBGA) using scalp blood is commonly used to identify serious fetal distress. However, there is a lack of data regarding its accuracy and reliability. The aim of this study was to determine the positive predictive value (PPV) and negative predictive value (NPV) of FBGA for predicting postpartum acidosis in case of nonreassuring fetal heart rate tracings (NRFHRT). To thi...

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Infant outcome at four years of age after intrapartum sampling of scalp blood lactate for fetal assessment. A cohort study

OBJECTIVE To correlate the value of lactate in fetal scalp blood at delivery and the outcomes of the offspring at four years of age. METHODS Cases where scalp blood lactate was taken within sixty minutes before delivery were identified from the randomized trial "Determination of pH or lactate in fetal scalp blood in management of intrapartum fetal distress". Data were grouped according to the...

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ژورنال

عنوان ژورنال: Cochrane Database of Systematic Reviews

سال: 2015

ISSN: 1465-1858

DOI: 10.1002/14651858.cd006174.pub3