Prediction Of Neonatal Acidemia At Birth With Intrapartum Total Reperfusion Time On Fetal Cardiotocogram KAHERS DR Prabhakar Kore Hospital, Belagavi- A One Year Case Control Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 350
- 试验地点
- 1
- 主要终点
- To Study The Predictive Ability Of Total Intrapartum Fetal Reperfusion Time On Fetal Cardiotocogram As A Predictor Of Neonatal Acidemia At Birth
研究概览
简要总结
NEED FOR THE STUDY:
| There has been no fetal parameter that can classify fetal acidemia with a high discrimination ability till now.Recent publications have analysed the importance of deceleration physiology and use parameters such as the deceleration area,that reports accumulated hypoxemia[7,8]. Acidemia at the time of birth is a risk factor for neonatal morbidity including neurological injury |
Hypoxic ischemic encephalopathy
Meconium aspiration syndrome
Neonatal seizure
Cerebral palsy
Neonatal mortality
It is essential to know about the fetal time available to recovering between deceleration and fetal ability to repeatedly activate the chemoreflex[.To measure total intrapartum fetal reperfusion time(fetal resilience) in CTG before delivery and assess their association with neonatal acidaemia among term infants.
As per the recent research,measurement of total intrapartum reperfusion time(fetal resilience)is a promising parameter on CTG which is predictive of neonatal acidemia at birth than the type of deceleration
DATA COLLECTION PROCEDURE:
| The steps used for data collection are as follows: |
After obtaining the approval from ethical committee and a written informed consent,
Subjects are recruited according to the inclusion and exclusion criteria
A detailed history with physical examination is taken
The 30min trace recording CTG is analysed
Total reperfusion time is calculated
Umbilical artery cord blood gas analysis at the time of delivery is obtained
Neonates with cord blood PH <=7.2are considered as cases and those with PH > 7.2 are treated as Controls
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 45.00 Year(s)（—）
- 性别
- Female
入选标准
- •Deceleration Pattern In Electronic Fetal Monitoring(2 Or More Decelerations In The Last 30 Minutes)
- •Term Gestation (37 To 42 Weeks)
- •Cephalic Presentation
- •No Fetal Anomalies.
排除标准
- •Uterine Rupture
- •Cord Prolapse
- •Shoulder Dystocia
- •Less Than 30 Minutes Trace Of Electronic Fetal Monitoring
- •Recurrent Loss Of Focus In Evaluation Of Electronic Fetal Monitoring.
结局指标
主要结局
To Study The Predictive Ability Of Total Intrapartum Fetal Reperfusion Time On Fetal Cardiotocogram As A Predictor Of Neonatal Acidemia At Birth
时间窗: 42 Weeks
次要结局
- To Compare The Predictive Ability Of Total Intrapartum Reperfusion Time With Total Deceleration Area(42 Weeks)
研究者
Dr Korapala Vyshnavi
Jawaharlal Nehru Medical College, KLE University