Foetal scalp blood sampling during, labour for pH and lactate measurements
Foetal scalp blood sampling during, labour for pH and lactate measurements
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DOI：
10.1016/j.bpobgyn.2015.05.006
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发表时间：
2016-01-01
影响因子：
5.5
通讯作者：
Maisonneuve, Emeline
中科院分区：
文献类型：
--
作者：
Carbonne, Bruno;Pons, Kelly;Maisonneuve, Emeline
胎儿监测的二线方法已被开发出来，试图减少由于连续心宫缩监护（CTG）造成的不必要的干预，并更好地识别有产时窒息风险的胎儿。很少有研究直接将 CTG 与胎儿头皮血（FBS）和仅 CTG 进行比较。 20 世纪 70 年代仅发表了一项随机对照试验 (RCP)，其评估新生儿结局的能力有限。直接和间接比较得出结论，FBS可以减少与使用连续CTG相关的剖腹产次数。FBS的主要缺点是其侵入性和不连续性，以及需要足够体积的胎儿血液进行分析，特别是pH测量，导致失败率达到10%。随着试纸装置的设计，用于乳酸测量的胎牛血清变得流行，需要
Second-line methods of foetal monitoring have been developed in an attempt to reduce unnecessary interventions due to continuous cardiotocography (CTG), and to better identify foetuses that are at risk of intrapartum asphyxia.Very few studies directly compared CTG with foetal scalp blood (FBS) and CTG only. Only one randomised controlled trial (RCP) was published in the 1970s and had limited power to assess neonatal outcome. Direct and indirect comparisons conclude that FBS could reduce the number of caesarean deliveries associated with the use of continuous CTG.The main drawbacks of FBS are its invasive and discontinuous nature and the need for a sufficient volume of foetal blood for analysis, especially for pH measurement, resulting in failure rates reaching 10%. FBS for lactate measurement became popular with the design of test-strip devices, requiring