title: Should fetal scalp blood sampling be performed in the case of meconium-stained amniotic fluid?
abstract: OBJECTIVE
  To investigate the effect of using fetal scalp blood sampling on the risk of neonatal respiratory distress syndrome (NRDS) with meconium-stained amniotic fluid (MSAF).
  
  
  METHODS
  Prospective data collection with regard to MSAF during labor for low-risk term cephalic singleton live birth from 2012 to 2014. Maternal, obstetric and neonatal data were compared according to the occurrence of respiratory distress syndrome (RDS group) or not (no RDS group).
  
  
  RESULTS
  Of 515 newborns born through MSAF, 46 experienced RDS and from them 10 experienced meconium aspiration syndrome. No difference was observed according to maternal characteristic, abnormal fetal heart rate tracing pattern irrespective of its category and cesarean rate. Apgar at one minute was lower in the group RDS (7.6 versus 8.5, p < 0.05). The mean umbilical artery pH values did not differ between the two groups. Significant difference between newborns with and without RDS in terms of fetal scalp lactate sampling during the labor (71.1% versus 55.1%, p < 0.05), and neonatal care unit (NCU) admissions (22.8% versus 10.8%, p < 0.05). Secondary rather than primary meconium was associated with RDS when performing fetal scalp blood assessment (p < 0.05). A significant correlation between RDS, fetal scalp blood assessment and MSAF diagnosed during the first stage of labor (after spontaneous rupture of membranes or at amniotomy) was found.
  
  
  CONCLUSIONS
  In case of MSAF, fetal scalp blood sampling did not reduce the risk of RDS.
authors: a Department of Obstetrics , Gynecology and Reproductive Medecine, University Hospital Jean Verdier , Bondy , France and.|b Université Paris 13, Sorbonne Paris Cité, UFR SMBH , Bobigny , France.
authors: J
authors: J
authors: Boujenah
authors: a Department of Obstetrics , Gynecology and Reproductive Medecine, University Hospital Jean Verdier , Bondy , France and.|b Université Paris 13, Sorbonne Paris Cité, UFR SMBH , Bobigny , France.
authors: J
authors: J
authors: Oliveira
authors: a Department of Obstetrics , Gynecology and Reproductive Medecine, University Hospital Jean Verdier , Bondy , France and.|b Université Paris 13, Sorbonne Paris Cité, UFR SMBH , Bobigny , France.
authors: C
authors: C
authors: De La Hosseraye
authors: a Department of Obstetrics , Gynecology and Reproductive Medecine, University Hospital Jean Verdier , Bondy , France and.|b Université Paris 13, Sorbonne Paris Cité, UFR SMBH , Bobigny , France.
authors: A
authors: A
authors: Benbara
authors: a Department of Obstetrics , Gynecology and Reproductive Medecine, University Hospital Jean Verdier , Bondy , France and.|b Université Paris 13, Sorbonne Paris Cité, UFR SMBH , Bobigny , France.
authors: A
authors: A
authors: Tigaizin
authors: a Department of Obstetrics , Gynecology and Reproductive Medecine, University Hospital Jean Verdier , Bondy , France and.|b Université Paris 13, Sorbonne Paris Cité, UFR SMBH , Bobigny , France.
authors: A
authors: A
authors: Bricou
authors: a Department of Obstetrics , Gynecology and Reproductive Medecine, University Hospital Jean Verdier , Bondy , France and.|b Université Paris 13, Sorbonne Paris Cité, UFR SMBH , Bobigny , France.
authors: L
authors: L
authors: Carbillon
mesh_terms: D000653:Amniotic Fluid; D000704:Analysis of Variance; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D005260:Female; D005312:Fetal Blood / Q000737:chemistry*; D005333:Fetus; D006340:Heart Rate, Fetal; D006801:Humans; D007231:Infant, Newborn; D019344:Lactic Acid / Q000097:blood*; D008471:Meconium Aspiration Syndrome / Q000097:blood* / Q000150:complications; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000379:methods*; D011446:Prospective Studies; D012127:Respiratory Distress Syndrome, Newborn / Q000097:blood* / Q000150:complications / Q000517:prevention & control; D012306:Risk; D012535:Scalp / Q000098:blood supply*; D014470:Umbilical Cord / Q000098:blood supply
chemical_list: D019344:Lactic Acid
keywords: Fetal scalp blood; meconium-stained amniotic fluid; neonatal respiratory distress; secondary