Protocol for a randomised controlled trial of fetal scalp blood lactate measurement to reduce caesarean sections during labour: the Flamingo trial [ACTRN12611000172909]
Christine E East, Stefan C Kane, Mary-Ann Davey, C Omar Kamlin, Shaun P Brennecke
BMC PREGNANCY AND CHILDBIRTH | BMC | Published : 2015
BACKGROUND: The rate of caesarean sections around the world is rising each year, reaching epidemic proportions. Although many caesarean sections are performed for concerns about fetal welfare on the basis of abnormal cardiotocography, the majority of babies are shown to be well at birth, meaning that the operation, with its inherent short and long term risks, could have been avoided without compromising the baby's health. Previously, fetal scalp blood sampling for pH estimation was performed in the context of an abnormal cardiotocograph, to improve the identification of babies in need of expedited delivery. This test has largely been replaced by lactate measurement, although its validity is ..View full abstract
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Awarded by Australian National Health and Medical Research Council (NHMRC) project grant
This study is funded by an Australian National Health and Medical Research Council (NHMRC) project grant (1026042). Professor Christine East is a recipient of a NHMRC Career Development Fellowship (2012-2015).