women in labour with a high-risk pregnancy
Conditions
Interventions
Women will be randomly assigned to routine care including fetal monitoring by cardiotocography with fetal blood sampling (CTG + FBS group) or to the index group including cardiotocography with ST-anal
Sponsors
University Medical Centre Utrecht, the Netherlands
Eligibility
Inclusion criteria
Inclusion criteria: Women in labour with a singleton fetus in vertex position and a gestational age > 35 + 6 weeks of gestation and an indication for electronic fetal monitoring (CTG).
Exclusion criteria
Exclusion criteria: 1. Women with a fetus in breech position; 2. Women with twin pregnancy; 3. No informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Presence or absence of metabolic acidosis defined as a pH 12 mmol/l in the umbilical cord artery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Instrumental delivery rate for the following indications: fetal distress, failure to progress or a combination; 2. Cost-effectiveness of both strategies: see below; 3. Neonatal outcome defined by low Apgar scores, defined as < 4 after 1 minute and/or < 7 after 5 minutes; 4. Need for admission to the neonatal medium or intensive care unit; 5. Cost-effectiveness of both monitoring strategies across hospitals, particularly, comparing academic and non-academic hospitals. | — |
Contacts
Public ContactG.H.A. Visser
University Medical Center Utrecht (UMCU) Department of Obstetrics P.O. Box 85500
Outcome results
None listed