Titre :

How to reduce fetal scalp blood sampling? A retrospective study evaluating the diagnostic value of scalp stimulation to predict fetal wellbeing assessed by scalp blood sampling

Auteur(s) :

Gilbert, M. [Auteur]
Ghesquiere, Louise [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Drumez, Elodie [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Subtil, Damien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Fague, V. [Auteur]
Berveiller, P. [Auteur]
Service de gynécologie et obstétrique [CHI Poissy-Saint Germain]
Garabedian, Charles [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Titre de la revue :

European Journal of Obstetrics & Gynecology and Reproductive Biology

Nom court de la revue :

Eur J Obstet Gynecol Reprod Biol

Numéro :

263

Pagination :

p. 153-158

Date de publication :

2021-08

ISSN :

1872-7654

Mot(s)-clé(s) en anglais :

Fetal blood sampling
Fetal scalp stimulation
Cardiotocography
Fetal heart rate

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Background The Fetal Blood Sample (FBS) is used as an indicator of fetal acidosis during labor. Its place is discussed through the lack of randomized trials, as well as the limitations related to the technical procedure. ...
Lire la suite >Background The Fetal Blood Sample (FBS) is used as an indicator of fetal acidosis during labor. Its place is discussed through the lack of randomized trials, as well as the limitations related to the technical procedure. An alternative could be the Fetal Scalp Stimulation (FSS). Aim Our objective was to describe the FSS diagnostic value to predict fetal wellbeing defined from FBS. Methods The FSS consisted in a digital scalp stimulation for 15 s. Test was negative when an acceleration and/or a normal variability were elicited in the 2 min following. FSS was performed before each FBS which was classified as normal when pH was > 7.25. The diagnostic value was assessed by sensibility, specificity, positive and negative predictive values. Findings 148 women were included in our center from February to December 2019. Of the 191 FBS procedures, when accelerations were elicited sensibility was 58,3 (36.8–77.1), specificity was 67,5 (59.3–75), positive predictive value was 20,9 (12.5–32.9) and negative predictive value was 91.7 % (95 %CI, 85–95.5). Discussion FBS is considered as the gold standard in our study which could be discussed as it is abandoned in some countries because of its questioned reliability and the lack of controlled randomized trials. Conclusion This study suggests that FSS could be an interesting alternative adjunctive test to perform in the first instance as it seems to be reliable, non-invasive and easy to perform in order to limit FBS only to absence of acceleration after FSS.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2023-11-15T06:18:50Z
2024-02-21T10:25:24Z