The predictive value of fetal scalp lactate to negative neonatal outcomes

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON22001

Enrollment

1240

Registered

2020-01-14

Start date

2020-01-15

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Fetal blood sampling during labor due to a suspicion of fetal distress

Interventions

Fetal Blood sampling

Eligibility

Inclusion criteria

Inclusion criteria: Women in labor with fetal blood sampling during labor Giving birth in our centre (Máxima MC) Singleton fetus Cephalic presentation

Exclusion criteria

Exclusion criteria: Maternale age <18 years old Gestational age <34+0 weeks Multiple pregnancy Suspicion of fetal clotting disorder Maternal infection like HIV or hepatitis

Design outcomes

Primary

Measure	Time frame
Negative predictive value and positive predictive value of fetal scalp lactate on neonatal acidosis. Neonatal acidosis is associated with arterial umbilical cord pH -12, Apgar scores <7 after 5 minutes and admission to the neonatal intensive care unit.	—

Secondary

Measure	Time frame
NPV and PPV of fetal scalp lactate on composite outcomes (defined as either arterial umbilical cord pH -12 or Apgar scores <7 after 5 minutes or admission to the neonatal intensive care unit). PPV and NPV of fetal scalp lactat on interventionrate Discrepancies between fetal scalp lactate and fetal scalp pH measurements Failure rates of fetal scalp lactate, fetal scalp pH and umbilical cord pH measurements CTG pattern at time of fetal blood sampling Fetal scalp lactate pattern in case of repeated measurements	—

Measure

Time frame

NPV and PPV of fetal scalp lactate on composite outcomes (defined as either arterial umbilical cord pH -12 or Apgar scores <7 after 5 minutes or admission to the neonatal intensive care unit). PPV and NPV of fetal scalp lactat on interventionrate Discrepancies between fetal scalp lactate and fetal scalp pH measurements Failure rates of fetal scalp lactate, fetal scalp pH and umbilical cord pH measurements CTG pattern at time of fetal blood sampling Fetal scalp lactate pattern in case of repeated measurements

—

Contacts

Public ContactMarion Frenken

Máxima Medisch Centrum, Veldhoven

marion.frenken@mmc.nl040-8888380

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)