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Table 2 Scalp lactate, UCBG and Apgar score < 7 at 5 min in 385 women with need of FBS during delivery. The cohort is divided by time from FBS to delivery and in positive and negative test results i.e. no versus an acceleration on CTG at FBS. The UCBG are not shown for women with ≥60 min from FBS to delivery. Medians with [range]

From: Effectiveness of fetal scalp stimulation test in assessing fetal wellbeing during labor, a retrospective cohort study

 

No acceleration (Positive test)

Acceleration (Negative test)

p value

FBS to delivery ≤ 20 min (n = 128)

108

20

 

Scalp lactate mmol/L

4.2 [1.6–7.7]

4.4 [1.9–7.0]

0.66

pH

7.2 [6.99–7.34]

7.2 [7.06–7.31]

0.790

A-pCO2 (kPa)

7.48 [4.68–13.6]

8.12 [5.18–10.2]

0.408

A-BE

−6.8 [−17–0.8]

−6.1 [− 12-(− 2)]

0.829

A-lactate mmol/L

7.5 [3.6–12]

6.3 [4.5–9.1]

0.748

5 min AS < 7

3

0

NA

FBS to delivery 21–59 min (n = 117)

69

48

 

Scalp lactate mmol/L

3.2 [1.1–6.8]

2.3 [1.0–6.4]

0.012

pH

7.23 [7.04–7.32]

7.22 [6.99–7.35]

1.00

A-pCO2 (kPa)

7.31 [4.38–11]

7.88 [5.09–11.1]

0.472

A-BE

−5.95 [−17–1.4]

−4.15 [−10.8–7.3]

0.044

A-lactate mmol/L

5 [2.6–10.0]

6.5 [2.9–8.9]

0.609

5 min AS < 7

2

0

NA

FBS to delivery ≥ 60 min (n = 140)

68

72

 

Scalp lactate mmol/L

2.1 [1–5]

2.1 [1.1–4.2]

0.911

  1. UCBG umbilical cord blood gases, FBS fetal blood sampling, Min minutes, A artery umbilical cord blood, pCO2 partial pressure of CO2, BE base excess, NA: not applicable
  2. Mann-Whitney test for continuous data, Fisher’s exact test for nominal data