Metabolic acidosis at birth and suboptimal care - Illustration of the gap between knowledge and clinical practice

BJOG: An International Journal of Obstetrics and Gynaecology

Volumn 116, Issue 11, 2009, Pages 1453-1460

  Jonsson, M ^a   Norden Lindeberg S ^a   Ostlund I ^b   Hanson, U ^a  

^a UPPSALA UNIVERSITY   (Sweden)

^b ÖREBRO UNIVERSITY   (Sweden)

Author keywords

Fetal surveillance; Labour; Metabolic acidosis; Oxytocin; Suboptimal care

Indexed keywords

OXYTOCIN;

APGAR SCORE; ARTICLE; BIRTH; CASE CONTROL STUDY; CLINICAL EVALUATION; CLINICAL PRACTICE; COMPARATIVE STUDY; CONTROLLED STUDY; DISEASE ASSOCIATION; DISEASE SURVEILLANCE; FEMALE; FETUS MONITORING; GESTATIONAL AGE; HUMAN; INTRAPARTUM CARE; KNOWLEDGE; MAJOR CLINICAL STUDY; MEDICAL AUDIT; METABOLIC ACIDOSIS; NEWBORN; NEWBORN MORBIDITY; OUTCOME ASSESSMENT; PATIENT CARE; PH MEASUREMENT; PRACTICE GUIDELINE; PRIORITY JOURNAL; SWEDEN; UMBILICAL ARTERY; UNIVERSITY HOSPITAL;

ACIDOSIS; CARDIOTOCOGRAPHY; CASE-CONTROL STUDIES; CLINICAL COMPETENCE; FEMALE; HUMANS; INFANT, NEWBORN; MATERNAL HEALTH SERVICES; MEDICAL AUDIT; OXYTOCICS; OXYTOCIN; PERINATAL CARE; PRACTICE GUIDELINES AS TOPIC; PREGNANCY; SWEDEN;

EID: 70049096288     PISSN: 14700328     EISSN: 14710528     Source Type: Journal    
DOI: 10.1111/j.1471-0528.2009.02269.x     Document Type: Article

References (48)

1. Vandenbussche FP, Oepkes D, Keirse MJ. The merit of routine cord blood pH measurement at birth. J Perinat Med 1999 27 : 158 165.
2. Gilstrap LC III., Leveno KJ, Burris J, Williams ML, Little BB. Diagnosis of birth asphyxia on the basis of fetal pH, Apgar score, and newborn cerebral dysfunction. Am J Obstet Gynecol 1989 161 : 825 830.
3. Goldaber KG, Gilstrap LC III., Leveno KJ, Dax JS, McIntire DD. Pathologic fetal acidemia. Obstet Gynecol 1991 78 : 1103 1107.
4. Goodwin TM, Belai I, Hernandez P, Durand M, Paul RH. Asphyxial complications in the term newborn with severe umbilical acidemia. Am J Obstet Gynecol 1992 167 : 1506 1512.
5. Low JA, Lindsay BG, Derrick EJ. Threshold of metabolic acidosis associated with newborn complications. Am J Obstet Gynecol 1997 177 : 1391 1394.
6. Andres RL, Saade G, Gilstrap LC, Wilkins I, Witlin A, Zlatnik F et al. Association between umbilical blood gas parameters and neonatal morbidity and death in neonates with pathologic fetal acidemia. Am J Obstet Gynecol 1999 181 : 867 871.
7. Sehdev HM, Stamilio DM, Macones GA, Graham E, Morgan MA. Predictive factors for neonatal morbidity in neonates with an umbilical arterial cord pH less than 7.00. Am J Obstet Gynecol 1997 177 : 1030 1034.
8. Draper ES, Kurinczuk JJ, Lamming CR, Clarke M, James D, Field D. A confidential enquiry into cases of neonatal encephalopathy. Arch Dis Child Fetal Neonatal Ed 2002 87 : F176 80.
9. Holt J, Fagerli I, Holdo B, Vold IN. Audit of neonatal deaths of nonmalformed infants of 34 or more weeks' gestation: unavoidable catastrophic events or suboptimal care? Acta Obstet Gynecol Scand 2002 81 : 899 904.
10. Jonsson M, Norden SL, Hanson U. Analysis of malpractice claims with a focus on oxytocin use in labour. Acta Obstet Gynecol Scand 2007 86 : 315 319.
11. Becher JC, Stenson BJ, Lyon AJ. Is intrapartum asphyxia preventable? BJOG 2007 114 : 1442 1444.
12. Berglund S, Grunewald C, Pettersson H, Cnattingius S. Severe asphyxia due to delivery-related malpractice in Sweden 1990-2005. BJOG 2008 115 : 316 323.
13. Jonsson M, Norden-Lindeberg S, Ostlund I, Hanson U. Acidemia at birth, related to obstetric characteristics and to oxytocin use, during the last two hours of labor. Acta Obstet Gynecol Scand 2008 87 : 745 750.
14. Sarnat HB, Sarnat MS. Neonatal encephalopathy following fetal distress. A clinical and electroencephalographic study. Arch Neurol 1976 33 : 696 705.
15. Rooth G, Huch R. Guidelines for the use of fetal monitoring. Int J Gynecol Obstet 1987 25 : 159 167.
16. Friedman EA. An objective approach to the diagnosis and management of abnormal labor. Bull N Y Acad Med 1972 48 : 842 858.
17. American College of Obstetrics and Gynecology Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin Number 49 December 2003. Dystocia and augmentation of labor. Obstet Gynecol 2003 102 : 1445 1454.
18. Bofill JA, Rust OA, Schorr SJ, Brown RC, Martin RW, Martin JN Jr. et al. A randomized prospective trial of the obstetric forceps versus the M-cup vacuum extractor. Am J Obstet Gynecol 1996 175 : 1325 1330.
19. Bofill JA, Rust OA, Schorr SJ, Brown RC, Roberts WE, Morrison JC. A randomized trial of two vacuum extraction techniques. Obstet Gynecol 1997 89 (5 Pt 1 758 762.
20. Mahon TR, Chazotte C, Cohen WR. Short labor: characteristics and outcome. Obstet Gynecol 1994 84 : 47 51.
21. Cunningham G, Leveno K, Gilstarp L, Haut J, Wenstrom K. Dystocia, Abnormal Labor and Fetopelvic Disproportion. Williams obstetrics, 21st edn. London, UK : McGraw-Hill 2001. p. 425 450.
22. Low JA, Victory R, Derrick EJ. Predictive value of electronic fetal monitoring for intrapartum fetal asphyxia with metabolic acidosis. Obstet Gynecol 1999 93 : 285 291.
23. Oscarsson ME, Amer-Wahlin I, Rydhstroem H, Kallen K. Outcome in obstetric care related to oxytocin use. A population-based study. Acta Obstet Gynecol Scand 2006 85 : 1094 1098.
24. Knox GE, Simpson KR, Garite TJ. High reliability perinatal units: an approach to the prevention of patient injury and medical malpractice claims. J Healthc Risk Manag 1999 19 : 24 32.
25. Young P, Hamilton R, Hodgett S, Moss M, Rigby C, Jones P et al. Reducing risk by improving standards of intrapartum fetal care. J R Soc Med 2001 94 : 226 231.
26. Simpson KR, Poole JH. Labor induction & augmentation. Knowing when, and how, to assist women in labor. AWHONN Lifelines 1998 2 : 39 42.
27. O'Driscoll K, Foley M, MacDonald D. Active management of labor as an alternative to cesarean section for dystocia. Obstet Gynecol 1984 63 : 485 490.
28. Thorp JA, Rushing RS. Umbilical cord blood gas analysis. Obstet Gynecol Clin North Am 1999 26 : 695 709.
29. Merrill DC, Zlatnik FJ. Randomized, double-masked comparison of oxytocin dosage in induction and augmentation of labor. Obstet Gynecol 1999 94 : 455 463.
30. Loghis C, Salamalekis E, Vitoratos N, Panayotopoulos N, Kassanos D. Umbilical cord blood gas analysis in augmented labour. J Obstet Gynaecol 1999 19 : 38 40.
31. Sadler LC, Davison T, McCowan LM. A randomised controlled trial and meta-analysis of active management of labour. BJOG 2000 107 : 909 915.
32. Smith JG, Merrill DC. Oxytocin for induction of labor. Clin Obstet Gynecol 2006 49 : 594 608.
33. Herbst A, Wolner-Hanssen P, Ingemarsson I. Risk factors for acidemia at birth. Obstet Gynecol 1997 90 : 125 130.
34. Errkola R, Nikkanen V. Aprecipitate labour. Ann Chir Gynaecol 1978 67 : 150 153.
35. Hendricks CH, Brenner WE, Kraus G. Normal cervical dilatation pattern in late pregnancy and labor. Am J Obstet Gynecol 1970 106 : 1065 1082.
36. West CR, Curr L, Battin MR, Harding JE, McCowan LM, Belgrave S et al. Antenatal antecedents of moderate or severe neonatal encephalopathy in term infants - a regional review. Aust N Z J Obstet Gynaecol 2005 45 : 207 210.
37. Ellis M, Manandhar N, Manandhar DS, Costello AM. Risk factors for neonatal encephalopathy in Kathmandu, Nepal, a developing country: unmatched case-control study. BMJ 2000 320 : 1229 1236.
38. Gaffney G, Sellers S, Flavell V, Squier M, Johnson A. Case-control study of intrapartum care, cerebral palsy, and perinatal death. BMJ 1994 308 : 743 750.
39. Westgate JA, Gunn AJ, Gunn TR. Antecedents of neonatal encephalopathy with fetal acidaemia at term. Br J Obstet Gynaecol 1999 106 : 774 782.
40. Low JA, Pickersgill H, Killen H, Derrick EJ. The prediction and prevention of intrapartum fetal asphyxia in term pregnancies. Am J Obstet Gynecol 2001 184 : 724 730.
41. Clark SL, Gimovsky ML, Miller FC. The scalp stimulation test: a clinical alternative to fetal scalp blood sampling. Am J Obstet Gynecol 1984 148 : 274 277.
42. Devoe LD, Murray C, Faircloth D, Ramos E. Vibroacoustic stimulation and fetal behavioral state in normal term human pregnancy. Am J Obstet Gynecol 1990 163 (4 Pt 1 1156 1161.
43. Spencer JA, Badawi N, Burton P, Keogh J, Pemberton P, Stanley F. The intrapartum CTG prior to neonatal encephalopathy at term: a case-control study. Br J Obstet Gynaecol 1997 104 : 25 8.
44. Phelan JP, Ahn MO. Perinatal observations in forty-eight neurologically impaired term infants. Am J Obstet Gynecol 1994 171 : 424 431.
45. Keegan KA Jr., Waffarn F, Quilligan EJ. Obstetric characteristics and fetal heart rate patterns of infants who convulse during the newborn period. Am J Obstet Gynecol 1985 153 : 732 737.
46. Westgate JA, Wassink G, Bennet L, Gunn AJ. Spontaneous hypoxia in multiple pregnancies is associated with early fetal decompensation and enhanced T-wave elevation during brief repeated cord occlusion in near-term fetal sheep. Am J Obstet Gynecol 2005 193 : 1526 1533.
47. Clark S, Belfort M, Saade G, Hankins G, Miller D, Frye D et al. Implementation of a conservative checklist-based protocol for oxytocin administration: maternal and newborn outcomes. Am J Obstet Gynecol 2007 197 : 480 e1-5.
48. Hayes EJ, Weinstein L. Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin. Am J Obstet Gynecol 2008 198 : 622 e1-7.