| Autor: |
Ayumu Ito, MD, PhD, Eijiro Hayata, MD, PhD, Hikari Kotaki, MD, Makiko Shimabukuro, MD, Mayumi Takano, MD, PhD, Sumito Nagasaki, MD, PhD, Masahiko Nakata, MD, PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
AJOG Global Reports, Vol 4, Iss 2, Pp 100343- (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2666-5778 |
| DOI: |
10.1016/j.xagr.2024.100343 |
| Popis: |
BACKGROUND: The iPREFACE score may aid in predicting fetal acidemia and neonatal asphyxia in emergency cesarean sections and vaginal deliveries, which may improve labor management precision in the future. OBJECTIVE: This study aimed to assess the use of the iPREFACE score as an objective indicator of the need for rapid delivery in cases of repeated abnormal waveforms without concurrent indications for immediate medical intervention during labor. STUDY DESIGN: This retrospective cohort study was conducted among term (37+ 0 days to 41+6 days) singleton pregnant women who underwent emergency cesarean section owing to a nonreassuring fetal status. The iPREFACE-DCS score, calculated from a 30-minute cardiotocography waveform before the decision to perform emergency cesarean section, and the iPREFACE-RCT score, calculated from a 30-minute cardiotocography waveform before cardiotocography transducer removal, were employed. The primary outcome was the assessment of the predictive ability of these scores for fetal acidemia, whereas the secondary outcomes were differences in umbilical artery blood gas findings and postnatal outcomes between the 2 groups, divided by the cutoff values of the iPREFACE-RCT score. RESULTS: The iPREFACE-DCS and iPREFACE-RCT scores demonstrated the capability to predict an umbilical artery blood pH of |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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