Abnormal Fetal Heart Rate
Conditions
Keywords
fetal scalp blood sampling, fetal blood sampling, cesarean section, non-reassuring fetal heart rate
Brief summary
In order to reduce the cesarean sections rate, an adjunctive test is recommended in case of non-reassuring fetal heart rate tracing. In France, the reference adjunctive test is fetal scalp blood sampling. However, there is no study about the repetition of fetal blood sampling. Our hypothesis is that the repetition of fetal blood sampling is useful when fetal heart rate stays non-reassuring and may lead to vaginal delivery without impair neonatal prognostic. Therefore, our objective was to compare the patients with three or more fetal blood sampling with the patients with one or two.
Interventions
DIAGNOSTIC_TESTFetal blood sampling
Fetal scalp blood sampling and analysis
Sponsors
Central Hospital, Nancy, France
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* One fetal blood sampling during labour or more * Singleton pregnancy * Gestational age equal or above 37 weeks * No contra-indication of fetal blood sampling * No pregnancy complication
Exclusion criteria
* Sampling failure * Incomplete file
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Delivery | baseline | Vaginal delivery, operative delivery, cesarean section |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Apgar score | baseline | value of Apgar score at five minutes of life |
| umbilical cord pH | baseline | value of umbilical cord pH |
| umbilical cord lactates | baseline | value of umbilical cord lactates |
| neonatal care intensive unit transfer | baseline | rate of neonatal care intensive unit transfer |
Countries
France
Outcome results
None listed