IMPLEMENTING LACTATE SCALP TESTING IN PRACTICE OF SURGUT DISTRICT CLINICAL CENTER OF MATERNITY AND CHILDHOOD HEALTH CARE
https://doi.org/10.35266/2304-9448-2023-3-32-41
Abstract
The study aims to compare the outcomes of 160 labor cases and their infants born at gestational age from 37 + 0 to 42 + 0 weeks prior and following the implementation of fetal scalp testing into gynecological practice as an additional method to diagnose fetal hypoxia. The examination included a retrospective study of 80 women in labor and 80 newborns before the scalp test, and a prospective study of another 80 women in labor and 80 newborns after the test. The results of the study demonstrated a reduced number of instrumental deliveries and an improvement in the state and outcomes of newborns with severe asphyxia by the first postnatal year. After intranatal lactate blood sampling in the early neonatal period, newborns with severe asphyxia demonstrated a significantly reduced rate of pathological pattern when their amplitude-integrated electroencephalography was recorded, and their hypoxic-ischemic encephalopathy was lower as well. In 24 months of observation, there were no statistically significant neurological complications in most of the children with severe asphyxia.
About the Authors
L. D. Belotserkovtseva
Surgut State University,
Surgut District Clinical Center of Maternity and Childhood Health Care, Surgut
Russian Federation
Russian Federation
Doctor of Sciences (Medicine), Professor
E-mail: info@surgut-kpc.ru
Yu. A. Sherstyuk
Surgut State University,
Surgut District Clinical Center of Maternity and Childhood Health Care, Surgut
Russian Federation
Russian Federation
Postgraduate, Anesthesiologist-Resuscitator
E-mail: sjuruk27@gmail.com
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Review
For citations:
Belotserkovtseva L.D., Sherstyuk Yu.A. IMPLEMENTING LACTATE SCALP TESTING IN PRACTICE OF SURGUT DISTRICT CLINICAL CENTER OF MATERNITY AND CHILDHOOD HEALTH CARE. Vestnik SurGU. Meditsina. 2023;16(3):32-41. (In Russ.) https://doi.org/10.35266/2304-9448-2023-3-32-41
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