Lactate in Amniotic Fluid: Predictor of Labor Outcome in Oxytocin-Augmented Primiparas' Deliveries.

ABSTRACT:

Background

One of the major complications related to delivery is labor dystocia, or an arrested labor progress. Many dystocic deliveries end vaginally after administration of oxytocin, but a large numbers of women with labor dystocia will undergo a long and unsafe parturition. As a result of the exertion required in labor, the uterus produces lactate. The uterine production of lactate is mirrored by the level of lactate in amniotic fluid (AFL).

Objectives

To evaluate whether the level of AFL, analysed in a sample of amniotic fluid collected vaginally at arrested labor when oxytocin was needed, could predict labor outcome in nulliparous deliveries.

Methods

A prospective multicentre study including 3000 healthy primiparous women all with a singleton pregnancy, gestation

SUBMITTER: Wiberg-Itzel E 

PROVIDER: S-EPMC5082650 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature