Fetal scalp blood sampling during labour: Is it a useful diagnostic test or a historical test that no longer has a place in modern clinical obstetrics?

BJOG: An International Journal of Obstetrics and Gynaecology

Volumn 121, Issue 9, 2014, Pages 1056-1062

  Chandraharan, E ^a  

^a ST GEORGE'S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

CATECHOLAMINE; LACTIC ACID;

ACIDOSIS; AMNION FLUID; ARTERIAL GAS; BLOOD OXYGENATION; BLOOD PH; CARDIOTOCOGRAPHY; CEREBROSPINAL FLUID; DELIVERY; DIAGNOSTIC TEST; FETAL SCALP BLOOD SAMPLING; FETAL WELL BEING; FETUS BLOOD SAMPLING; FETUS MONITORING; HUMAN; HYPOXIA; INTRAPARTUM HYPOXIA; LABOR; MECONIUM; NOTE; OXYGEN SATURATION; PREDICTIVE VALUE; PRIORITY JOURNAL; PULSE OXIMETRY; UTERUS CONTRACTION; VASOCONSTRICTION;

ACIDOSIS; DIAGNOSTIC TESTS, ROUTINE; FEMALE; FETAL BLOOD; FETAL HYPOXIA; FETAL MONITORING; HUMANS; HYDROGEN-ION CONCENTRATION; LABOR, OBSTETRIC; PRACTICE GUIDELINES AS TOPIC; PREGNANCY; SCALP;

EID: 84904789680     PISSN: 14700328     EISSN: 14710528     Source Type: Journal    
DOI: 10.1111/1471-0528.12614     Document Type: Note

References (19)

1. Beard RW, Filshie GM, Knight CA, Roberts GM,. The significance of the changes in the continuous fetal heart rate in the first stage of labour. J Obstet Gynecol Br Cwlth 1971; 78: 865-81.
2. Nelson KB, Dambrosia JM, Ting TY, Grether JK,. Uncertain value of electronic fetal monitoring in predicting cerebral palsy. N Engl J Med 1996; 334: 613-8.
3. Clark SL, Hankins GD,. Temporal and demographic trends in cerebral palsy-fact and fiction. Am J Obstet Gynecol 2003; 188: 628-33.
4. National Institute of Clinical Excellence. Intrapartum care: care of healthy women and their babies during labour. NICE Clinical Guideline No. 55. London: NICE; September 2007.
5. Alfirevic Z, Devane D, Gyte GML,. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database Syst Rev 2006: CD006066.
6. Saling E,. Amnioscopy and fetal blood sampling: observations on foetal acidosis. Arch Dis Child 1966; 41: 472-6.
7. Beard RW,. The effect of fetal blood sampling on caesarean section for fetal distress. J Obstet Gynaecol Br Cwlth 1968; 75: 1291-5.
8. Helwig JT, Parer JT, Kilpatrick SJ, Laros RK Jr,. Umbilical cord blood acid-base state: what is normal? Am J Obstet Gynecol 1996; 174: 1807-12.
9. East CE, Begg L, Colditz PB,. Fetal pulse oximetry for fetal assessment in labour. Cochrane Database Syst Rev 2007: CD004075.
10. East CE, Leader LR, Sheehan P, Henshall NE, Colditz PB,. Intrapartum fetal scalp lactate sampling for fetal assessment in the presence of a non-reassuring fetal heart rate trace. Cochrane Database Syst Rev 2010: CD006174
11. Odendaal H,. Factors influencing the pH value of foetal scalp blood with special reference to caput succedaneum. S Afr Med J 1974; 48: 59-62.
12. Carbonne B, Cudeville C, Maillard F, Goffinet F,. French Study Group on Fetal Pulse Oximetry. Predictive value of pulse oximetry and fetal scalp blood pH in the case of meconium-stained amniotic fluid. Eur J Obstet Gynecol Reprod Biol 2003; 109: 27-32.
13. Lösch A, Kainz C, Kohlberger P, Heinze G, Hefler L, Lahodny J, et al. Influence on fetal blood pH when adding amniotic fluid: an in vitro model. BJOG 2003; 110: 453-6.
14. Renou P, Newman W, Lumley J, Wood C,. Fetal scalp blood changes in relation to uterine contractions. J Obstet Gynaecol Br Cwlth 1968; 75: 629-35.
15. O'Brien YM, Murphy DJ,. The reliability of foetal blood sampling as a test of foetal acidosis in labour. Eur J Obstet Gynecol Reprod Biol 2013; 167: 142-5.
16. Adamsons K, Beard RW, Myers RE,. Comparison of the composition of arterial, venous, and capillary blood of the fetal monkey during labor. Am J Obstet Gynecol 1970; 107: 435-40.
17. Boenisch H, Saling E,. The reliability of pH-values in fetal blood samples-a study of the second stage. J Perinat Med 1976; 4: 45.
18. American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 106. Intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles. Obstet Gynecol 2009; 114: 192-202.
19. Schaap TP, Moormann KA, Becker JH, Westerhuis ME, Evers A, Brouwers HA, et al. Cerebrospinal fluid leakage, an uncommon complication of fetal blood sampling: a case report and review of the literature. Obstet Gynecol Surv 2011; 66: 42-6.