The predictive value of fetal scalp lactate to negative neonatal outcomes
- Conditions
- Fetal blood sampling during labor due to a suspicion of fetal distress
- Registration Number
- NL-OMON22001
- Lead Sponsor
- Máxima MC
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- 1240
Inclusion Criteria
Women in labor with fetal blood sampling during labor
Giving birth in our centre (Máxima MC)
Singleton fetus
Cephalic presentation
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
Study & Design
- Study Type
- Observational non invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method egative predictive value and positive predictive value of fetal scalp lactate on neonatal acidosis. Neonatal acidosis is associated with arterial umbilical cord pH <7.10 and base deficit >-12, Apgar scores <7 after 5 minutes and admission to the neonatal intensive care unit.
- Secondary Outcome Measures
Name Time Method PV and PPV of fetal scalp lactate on composite outcomes (defined as either arterial umbilical cord pH <7.10 and base deficit >-12 or Apgar scores <7 after 5 minutes or admission to the neonatal intensive care unit).<br>PPV and NPV of fetal scalp lactat on interventionrate<br>Discrepancies between fetal scalp lactate and fetal scalp pH measurements <br>Failure rates of fetal scalp lactate, fetal scalp pH and umbilical cord pH measurements<br>CTG pattern at time of fetal blood sampling<br>Fetal scalp lactate pattern in case of repeated measurements