Fetal scalp lactate measurement is equally good or superior than fetal scalp pH measurements during labor in case of nonreassuring fetal heart rate patterns in predicting adverse neonatal outcomes.
ID
Bron
Verkorte titel
Aandoening
Fetal blood sampling during labor due to a suspicion of fetal distress
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Negative predictive value and positive predictive value of fetal scalp lactate on neonatal acidosis. Neonatal acidosis is associated with arterial umbilical cord pH <7.10 and base deficit >-12, Apgar scores <7 after 5 minutes and admission to the neonatal intensive care unit.
Achtergrond van het onderzoek
In this retrospective cohort study, we would like to determine the negative and positive predictive values of fetal scalp lactate measurements in case of non-reassuring heart rate patterns on adverse neonatal outcomes. In our cohortstudy, both fetal scalp pH and fetal scalp lactate measurements are sampled at the same time.
Doel van het onderzoek
Fetal scalp lactate measurement is equally good or superior than fetal scalp pH measurements during labor in case of nonreassuring fetal heart rate patterns in predicting adverse neonatal outcomes.
Onderzoeksopzet
Start of study: 15-1-2020
Onderzoeksproduct en/of interventie
Fetal Blood sampling
Publiek
Wetenschappelijk
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Women in labor with fetal blood sampling during labor
Giving birth in our centre (Máxima MC)
Singleton fetus
Cephalic presentation
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
Maternale age <18 years old
Gestational age <34+0 weeks
Multiple pregnancy
Suspicion of fetal clotting disorder
Maternal infection like HIV or hepatitis
Opzet
Deelname
Voornemen beschikbaar stellen Individuele Patiënten Data (IPD)
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL8305 |
| Ander register | METC Máxima MC : N20.006 |