[Labor monitoring in high-risk situations].
Intrapartum asphyxia is increased in several situations such as intrauterine growth retardation, preterm labor, postdate pregnancy or maternal diabetes. In all these cases, fetal heart rate monitoring should be preferred to intermittent auscultation. Fetal scalp blood pH or lactates can be used to identify fetuses at risk of intrapartum asphyxia. However, fetal scalp blood sampling should not delay delivery in case of severe abnormal fetal heart rate as fetal asphyxia could occur rapidly in theses high-risk pregnancies. Data is insufficient to recommend fetal pulse oximetry or ECG analysis. Research should be undertaken to evaluate their performance in these situations.
Houfflin-Debarge
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Pôle d'Obstétrique, Hôpital Jeanne-de-Flandre, CHRU de Lille, Lille Cedex, France. v-houfflin-debarge@chru-lille.fr
Closset
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E
Deruelle
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P
D004200:Diseases in Twins / Q000175:diagnosis; D005260:Female; D005312:Fetal Blood / Q000737:chemistry; D005317:Fetal Growth Retardation; D005311:Fetal Hypoxia / Q000175:diagnosis / Q000209:etiology; D005323:Fetal Monitoring / Q000379:methods*; D006340:Heart Rate, Fetal; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007231:Infant, Newborn; D007743:Labor, Obstetric; D007773:Lactates / Q000097:blood; D008470:Meconium; D007752:Obstetric Labor, Premature; D011247:Pregnancy; D011254:Pregnancy in Diabetics; D018566:Pregnancy, High-Risk; D011273:Pregnancy, Prolonged; D012535:Scalp / Q000098:blood supply
D007773:Lactates