The addition of fetal scalp blood lactate measurement as an adjunct to cardiotocography to reduce caesarean sections during labour: The Flamingo randomised controlled trial
Christine E East, Mary-Ann Davey, C Omar F Kamlin, Peter G Davis, Penelope M Sheehan, Stefan C Kane, Shaun P Brennecke
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY | WILEY | Published : 2021
BACKGROUND: Fetal scalp blood sampling for lactate measurement (FBSLM) is sometimes used to assist in identification of the need for expedited birth in the presence of an abnormal cardiotocograph (CTG). However, there is no randomised controlled trial evidence to support this. AIM: To determine whether adding FBSLM reduces the risk of birth by emergency caesarean section in labours complicated by an abnormal CTG, compared with CTG without FBS. MATERIAL AND METHODS: Labouring women at a tertiary maternity hospital in Melbourne, Australia with a singleton, cephalic presentation, at ≥37 weeks gestation with an abnormal CTG pattern were randomised to the intervention (n = 61), with intermittent ..View full abstract
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Awarded by Australian National Health and Medical Research Council (NHMRC)
This study was funded by an Australian National Health and Medical Research Council (NHMRC) project grant (APP1026042). Christine East conducted this project as part of her NHMRC Career Development Fellowship. The NHMRC did not influence the conduct of the trial other than to provide some funding. The trial was registered with the Australian New Zealand Clinical Trials Register (ACTRN12611000172909) prior to commencement.