title: [Analysis of the evitability of intrapartum asphyxia with a peers review].
abstract: OBJECTIVE
  To assess the quality of intrapartum care in birth asphyxia cases.
  
  
  METHODS
  Prospective analysis of all cases of birth asphyxia in nine maternity units during one year (2010). Birth asphyxia was defined as the combination of at least one clinical factor (Apgar≤7 at 5 minutes, signs of encephalopathy at birth) and at least one biological factor in cord (pH≤7, BD≥12 mmol/L, lactates>10 mmol/L). These cases were analyzed with a peer review from French guidelines 2007.
  
  
  RESULTS
  Fifty cases of birth asphyxia were identified. After peer-review, they were defined as 46% non preventable, 27% possibly preventable, 24% definitely preventable and 3% not established. The main causes have been described as (i) misinterpretation of CTG during the first and second stages of labour, (ii) delayed response time to CTG anomalies and (iii) prolonged second stage.
  
  
  CONCLUSIONS
  In half of the cases of birth asphyxia, this dreaded event was considered as preventable by a group of peers.
authors.affiliation: Maternité Paule-de-Viguier, CHU de Toulouse, 330, avenue Grande-Bretagne, 31000 Toulouse, France. Electronic address: laiabatlle@free.fr.
authors.forename: L
authors.initials: L
authors.lastname: Batlle
authors.forename: B
authors.initials: B
authors.lastname: Guyard-Boileau
authors.forename: O
authors.initials: O
authors.lastname: Thiebaugeorges
authors.forename: A
authors.initials: A
authors.lastname: Caubisens
authors.forename: M-F
authors.initials: MF
authors.lastname: Vaquié
authors.forename: F
authors.initials: F
authors.lastname: Thiery
authors.forename: O
authors.initials: O
authors.lastname: Parant
authors.forename: C
authors.initials: C
authors.lastname: Vayssiere
mesh_terms: D001034:Apgar Score; D001238:Asphyxia Neonatorum / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy; D015148:Cardiotocography; D005260:Female; D005312:Fetal Blood / Q000737:chemistry; D005602:France; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007231:Infant, Newborn; D007743:Labor, Obstetric; D007773:Lactates / Q000097:blood; D010380:Peer Review; D011247:Pregnancy; D011446:Prospective Studies; D012307:Risk Factors
chemical_list: D007773:Lactates