Pédiatrie clinique : libre accès
Libre accès

Abstrait

Measurement of fetal scalp lactate for determining fetal well-being in labour

Sheida Naderi-Azad

Statement of the problem: Inadequate oxygen supply may lead to the respiratory acidosis (pH < 7.35) and increased lactate in the blood. Upon membrane rupture during labour, one can measure lactate and pH levels in a sample of blood taken from the baby's scalp. While both fetal scalp lactate and pH have been previously used in predicting adverse outcomes in labour, there is a paucity of information on which marker is superior in this regard. This study examines the measurement of fetal scalp lactate superior to fetal scalp pH in predicting adverse fetal/newborn outcomes and successful acquisition of a usable sample among women at term in labor.