Fetal distress, maternal hyperoxygenation, labor, intrauterine resuscitation.
Conditions
Interventions
In case of suboptimal or abnormal FHR patterns (according to the FIGO classification) during the second stage of labor, 100% oxygen is applied to the mother by a non-rebreathing mask, and continued un
Sponsors
Maxima Medical Center, Veldhoven, The Netherlands.
Eligibility
Inclusion criteria
Inclusion criteria: Maternal factors: - Age > 18 years - In term labor (gestational age 37+0 - 41+6 weeks) - Intention for vaginal delivery - Ability to understand the Dutch or English language - Informed consent obtained Fetal factors: - Singleton fetus - Fetus in cephalic presentation - Suboptimal or abnormal FHR pattern (according to FIGO classification, with exception of prolonged fetal bradycardia)
Exclusion criteria
Exclusion criteria: Maternal factors: - Age 41+6 weeks) - Planned caesarean section Fetal factors: - Multiple fetuses - Suspected infection - Congenital malformations - Breech presentation - Normal or preterminal FHR pattern, or prolonged fetal bradycardia (according to FIGO classification)
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures are arterial and venous umbilical cord pH, base excess, lactate, pO2 and pCO2, Apgar score, mode of delivery, neonatal intensive care unit (NICU) admission, markers for free oxygen radical production and maternal side effects of oxygen admission and reasons for discontinuation. | — |
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is FHR pattern (frequency, depth and duration of decelerations, baseline and variability). | — |
Contacts
Public ContactLauren Bullens
Berkven 36
Outcome results
None listed