Intrapartum fetal monitoring Pregnancy and Childbirth Intrapartum fetal monitoring
Conditions
Interventions
Of the 3,007 participants recruited and randomised, 15 participants were excluded due to multiple pregnancies or gestational age <34 weeks. Final analysis was carried out on 2,992 cases, 1,496 in each
Sponsors
Karolinska University Hospital (c/o Lennart Nordström)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Women in labour with a singleton pregnancy 2. Gestational age >34 weeks 3. Cephalic presentation 4. Clinical situation where a fetal scalp blood sampling was indicated 5. Those who had given consent
Exclusion criteria
Exclusion criteria: 1. Gestational age <34 weeks 2. Breech or multiple pregnancies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of metabolic acidemia or pH less than 7.00 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures: 1. Protocol violation (mainly due to failed sampling or analysis) 2. Rate of instrumental deliveries 3. Rate of cesarean section 4. Apgar score less than 7 at 5 min 5. Admissions to neonatal intensive care unit Tertiary outcome measures: 1. Prevalence of pH less than 7.10 2. Rate of intervention due to fetal distress 3. Rate of Hypoxic Ischemic Encephalopathy (HIE) | — |
Countries
Sweden
Outcome results
None listed