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Fetal Scalp pH During Labour: is it Worth Repeating

Completed
Conditions
Abnormal Fetal Heart Rate
Interventions
Diagnostic Test: Fetal blood sampling
Registration Number
NCT05900596
Lead Sponsor
Central Hospital, Nancy, France
Brief Summary

In order to reduce the cesarean sections rate, an adjunctive test is recommended in case of non-reassuring fetal heart rate tracing. In France, the reference adjunctive test is fetal scalp blood sampling. However, there is no study about the repetition of fetal blood sampling. Our hypothesis is that the repetition of fetal blood sampling is useful when fetal heart rate stays non-reassuring and may lead to vaginal delivery without impair neonatal prognostic. Therefore, our objective was to compare the patients with three or more fetal blood sampling with the patients with one or two.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
130
Inclusion Criteria
  • One fetal blood sampling during labour or more
  • Singleton pregnancy
  • Gestational age equal or above 37 weeks
  • No contra-indication of fetal blood sampling
  • No pregnancy complication
Exclusion Criteria
  • Sampling failure
  • Incomplete file

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
pH > 3Fetal blood samplingPatients with three or more fetal blood sampling
pH < 3Fetal blood samplingPatients one or two fetal blood sampling
Primary Outcome Measures
NameTimeMethod
Deliverybaseline

Vaginal delivery, operative delivery, cesarean section

Secondary Outcome Measures
NameTimeMethod
umbilical cord lactatesbaseline

value of umbilical cord lactates

Apgar scorebaseline

value of Apgar score at five minutes of life

umbilical cord pHbaseline

value of umbilical cord pH

neonatal care intensive unit transferbaseline

rate of neonatal care intensive unit transfer

Trial Locations

Locations (1)

Regional University Maternity of Nancy

🇫🇷

Nancy, Meurthe-et-Moselle, France

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