Matches in SemOpenAlex for { <https://semopenalex.org/work/W4300996621> ?p ?o ?g. }
Showing items 1 to 54 of
54
with 100 items per page.
- W4300996621 endingPage "S107" @default.
- W4300996621 startingPage "S101" @default.
- W4300996621 abstract "Assess the discordance between scalp pH and lactates performed from the same sample during labor.This single-center retrospective study included all women with a singleton fetus who had at least one fetal blood sample taken during labor. Some of them had up to seven samples. Scalp pH was the reference parameter for obstetric decision-making. The correlation between the pH and lactates was studied using Pearson coefficient. By categorizing the values as normal, pre-acidosis and acidosis, we were able to estimate agreement with Cohen's kappa coefficient. The frequency of discordance in the categorization and the factors related to it were studied with univariate and multivariable analyses. Cases of severe acidosis at birth (cord pH < 7.00) and cases with acidosis scalp lactates but normal scalp pH were analyzed.We analyzed 480 samples from 268 fetuses among the 2644 deliveries during the study periode. Fetal blood sampling represented 10 % of deliveries. The scalp pH and lactates results were strongly correlated (r=-0.83), but their agreement was only fair (K = 0.36). In 29.4 % of cases, pH and lactates were discordant. Factors related to discordance were meconium-stained fluid, sampling at full dilation and multiple sampling. Six infants (2.2 %) had severe acidosis at birth. Cases’ analyses did not allow to conclude severe acidosis could have been avoided using scalp lactates for obstetric decision-making.For more than a quarter of the samples, results were discordant between scalp pH and lactates, especially when cervix was full dilated and when the amniotic fluid was meconium-stained. A randomized controlled trial comparing the relevance of each parameter according to the obstetrical situation would be necessary." @default.
- W4300996621 created "2022-10-04" @default.
- W4300996621 date "2008-02-01" @default.
- W4300996621 modified "2023-09-25" @default.
- W4300996621 title "Texte des recommandations" @default.
- W4300996621 doi "https://doi.org/10.1016/j.jgyn.2007.11.016" @default.
- W4300996621 hasPublicationYear "2008" @default.
- W4300996621 type Work @default.
- W4300996621 citedByCount "1" @default.
- W4300996621 crossrefType "journal-article" @default.
- W4300996621 hasConcept C131872663 @default.
- W4300996621 hasConcept C141071460 @default.
- W4300996621 hasConcept C172680121 @default.
- W4300996621 hasConcept C2778194526 @default.
- W4300996621 hasConcept C2778515351 @default.
- W4300996621 hasConcept C2778553927 @default.
- W4300996621 hasConcept C2779234561 @default.
- W4300996621 hasConcept C29456083 @default.
- W4300996621 hasConcept C42219234 @default.
- W4300996621 hasConcept C54355233 @default.
- W4300996621 hasConcept C71924100 @default.
- W4300996621 hasConcept C86803240 @default.
- W4300996621 hasConceptScore W4300996621C131872663 @default.
- W4300996621 hasConceptScore W4300996621C141071460 @default.
- W4300996621 hasConceptScore W4300996621C172680121 @default.
- W4300996621 hasConceptScore W4300996621C2778194526 @default.
- W4300996621 hasConceptScore W4300996621C2778515351 @default.
- W4300996621 hasConceptScore W4300996621C2778553927 @default.
- W4300996621 hasConceptScore W4300996621C2779234561 @default.
- W4300996621 hasConceptScore W4300996621C29456083 @default.
- W4300996621 hasConceptScore W4300996621C42219234 @default.
- W4300996621 hasConceptScore W4300996621C54355233 @default.
- W4300996621 hasConceptScore W4300996621C71924100 @default.
- W4300996621 hasConceptScore W4300996621C86803240 @default.
- W4300996621 hasIssue "1" @default.
- W4300996621 hasLocation W43009966211 @default.
- W4300996621 hasOpenAccess W4300996621 @default.
- W4300996621 hasPrimaryLocation W43009966211 @default.
- W4300996621 hasRelatedWork W193747327 @default.
- W4300996621 hasRelatedWork W2033115849 @default.
- W4300996621 hasRelatedWork W2056752164 @default.
- W4300996621 hasRelatedWork W2117093969 @default.
- W4300996621 hasRelatedWork W2347702267 @default.
- W4300996621 hasRelatedWork W2372824512 @default.
- W4300996621 hasRelatedWork W2414638654 @default.
- W4300996621 hasRelatedWork W2416190606 @default.
- W4300996621 hasRelatedWork W2440261202 @default.
- W4300996621 hasRelatedWork W3136631859 @default.
- W4300996621 hasVolume "37" @default.
- W4300996621 isParatext "false" @default.
- W4300996621 isRetracted "false" @default.
- W4300996621 workType "article" @default.