Intrapartum fetal surveillance: Monitoring fetal oxygenation with fetal blood sampling and umbilical cord blood analysis

P van den Berg*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review

1 Citation (Scopus)

Abstract

Although electronic fetal heart rate monitoring remains the most popular technique for fetal surveillance during labour, there is much concern about the ever rising Caesarean section rate, probably partly due to this practice. Fetal blood sampling is still the gold standard when it comes to measuring fetal oxygenation. There is enough evidence that the combination of EFM and FBS is more efficient in detecting fetal hypoxia and prevents an unnecessary high intervention rate. Another toot to assess the efficacy of intrapartum fetal monitoring is the measurement of pH and blood gases in the umbilical cord blood. This method can also rule out fetal hypoxia in cases with unreassuring fetal heart rate patterns, meconium and low Apgar scores. Continuing inadequate fetal oxygenation during labour may lead to pathological fetal acidaemia. This means that there is a mixed acidosis in the fetal blood with hypercarbia and a substantial base deficit. A pH <7.00 may lead to later sequelae but the base deficit, indicating the duration of the insult, is a better predictor of neonatal morbidity. (c) 2005 Elsevier B.V. All rights reserved.

Original languageEnglish
Title of host publicationGynaecology, Obstetrics, and Reproductive Medicine in Daily Practice
EditorsE Slager, B Fauser, H VanGeijn, H Brolmann, H Vervest
Place of PublicationAMSTERDAM
PublisherElsevier
Pages338-345
Number of pages8
ISBN (Print)0-444-51917-3
DOIs
Publication statusPublished - 2005
Event15th Congress of Gynaecology, Obstetrics and Reproductive Medicine - , Netherlands
Duration: 6-Apr-20058-Apr-2005

Publication series

NameINTERNATIONAL CONGRESS SERIES
PublisherELSEVIER SCIENCE BV
Volume1279
ISSN (Print)0531-5131

Other

Other15th Congress of Gynaecology, Obstetrics and Reproductive Medicine
Country/TerritoryNetherlands
Period06/04/200508/04/2005

Keywords

  • electronic fetal heart rate monitoring
  • fetal blood sampling
  • umbilical cord blood analysis
  • fetal oxygenation
  • fetal acid-base balance
  • hypoxia
  • RANDOMIZED CONTROLLED TRIAL
  • HEART-RATE
  • NEONATAL COMPLICATIONS
  • LOW-RISK
  • LABOR
  • POPULATION
  • ASPHYXIA
  • INFANTS
  • VALUES
  • TERM

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