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Re: Use of Saling technique From: Luis Sanchez-Ramos (luis.sanchez@jax.ufl.edu) Tue May 30 15:39:25 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: question" Previous message: Blagovest Pehlivanov: "question" Antonio: At our teaching institution we promote scalp pH sampling for patients with "suspicious" EFM strips. Several studies have shown that the incidence of cesarean deliveries performed for abnormal FHR patterns can be significantly decreased with the use of scalp pH sampling. Of course, the number of patients sample inversely proportional to the obstetrician's experience and knowledge intrepreting EFM strips. More recently, fetal pulse oxymetry has been promoted as another method utilized to assist in the interpretation of abnormal FHR patterns and their relationship with fetal hypoxemia/acidemia. The multicenter RCT showed a reduction in cesarean deliveries for FHR abnormalities but an increase in those performed for dystocia. No clear explanation for this finding. Very few preivate practitioners utilized scalp pH sampling. I am fully convinced that it helps to determine which patients have a compromised fetus and thus truly require abdominal delivery. LSR At Tue, 30 May 2000, Antonio Valdez wrote: > >Dear Listmembers: > >Happy Memorial Day (US netters) >I need your help.... >I'm going to give a conference in updates in fetal intrapartum survaillance...but We don't use the Saling blood sampling in a routine base...SO, Are you using fetal scalp blood analysis in every suspicios labor? >If you are...Do you think is better than fetal monitoring in predicting fetal stress? > >Thank you in advance.... > >PD Im waiting your answer TOO Dr Luis Sanchez-Ramos... >BTW Congratulations for the forthcoming issue of Clin Obstet & Gynecology about Cervical Ripening under your edition.... > >-- >Antonio Valdez-Torres MD FACOG >Ciudad Juarez, Chihuahua MEXICO > Next message: Bernard Cristalli: "Re: question" Previous message: Blagovest Pehlivanov: "question"

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