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Fetal scalp blood lactate during second stage of labor : determination of reference values and impact of obstetrical interventions

Wiberg, Nana LU orcid and Källén, Karin LU (2017) In Journal of Maternal-Fetal & Neonatal Medicine 30(5). p.612-617
Abstract

Objective: To determine the reference interval of fetal scalp blood lactate during second stage of labor. Material: Two hundred and fifty-three women in first stage of labor with a reassuring CTG were asked for permission to sample fetal scalp blood during second stage. Results: In cases with reassuring CTG and five minute Apgar score ≥9, the mean lactate value (±2 SD) was 2.5 mmol/L (lower limit 1.1, higher limit 5.2). The lactate concentration was significantly higher among nulliparous and in cases with use of epidural or oxytocin (p

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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Fetal monitoring, fetal scalp blood sampling, labor, lactate, oxytocin, pH, second stage
in
Journal of Maternal-Fetal & Neonatal Medicine
volume
30
issue
5
pages
612 - 617
publisher
Taylor & Francis
external identifiers
  • pmid:27181136
  • wos:000393217700023
  • scopus:84966762346
ISSN
1476-7058
DOI
10.1080/14767058.2016.1181167
language
English
LU publication?
yes
id
8dd6cece-3f49-40c3-9eba-d0a0d9542cd7
date added to LUP
2016-06-01 12:26:12
date last changed
2024-03-07 07:24:01
@article{8dd6cece-3f49-40c3-9eba-d0a0d9542cd7,
  abstract     = {{<p>Objective: To determine the reference interval of fetal scalp blood lactate during second stage of labor. Material: Two hundred and fifty-three women in first stage of labor with a reassuring CTG were asked for permission to sample fetal scalp blood during second stage. Results: In cases with reassuring CTG and five minute Apgar score ≥9, the mean lactate value (±2 SD) was 2.5 mmol/L (lower limit 1.1, higher limit 5.2). The lactate concentration was significantly higher among nulliparous and in cases with use of epidural or oxytocin (p </p>}},
  author       = {{Wiberg, Nana and Källén, Karin}},
  issn         = {{1476-7058}},
  keywords     = {{Fetal monitoring; fetal scalp blood sampling; labor; lactate; oxytocin; pH; second stage}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{612--617}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Maternal-Fetal & Neonatal Medicine}},
  title        = {{Fetal scalp blood lactate during second stage of labor : determination of reference values and impact of obstetrical interventions}},
  url          = {{http://dx.doi.org/10.1080/14767058.2016.1181167}},
  doi          = {{10.1080/14767058.2016.1181167}},
  volume       = {{30}},
  year         = {{2017}},
}