TY - JOUR
T1 - Intrapartum tocolysis has no effect on fetal lactate concentration
AU - Nordström, Lennart
AU - Chua, Selina
AU - Persson, Bengt
AU - Naka, Keiichi
AU - Arulkumaran, Sabaratnam
PY - 2000/4
Y1 - 2000/4
N2 - Objective: To assess the fetal metabolic effects of intrapartum maternal tocolysis with terbutaline in the presence of fetal heart rate abnormalities, with a special emphasis on lactate concentration, in view of its potential use as a marker of fetal condition. Design: Descriptive study. Setting: Two labour wards, National University Hospital, Singapore, and Ostersund Hospital, Sweden. Methods: Eight parturients with abnormal intrapartum fetal heart rate recordings were given bolus i.v. injection of 0.25 mg terbutaline and monitored both before and 20 minutes after treatment. Results: Maternal venous glucose increased from 5.0 (0.9) (mean (SD)) to 5.6 (1.2) mmol/l (p=0.002) and fetal scalp blood glucose rose from 4.1 (1.8) to 4.7 (1.4) mmol/l (p=0.009) 20 minutes after the injection. No significant change was found in maternal or fetal lactate concentrations. Conclusion: Terbutaline tocolysis for 'intrauterine resuscitation' does not affect fetal lactate concentration 20 minutes after treatment. Copyright (C) 2000 Elsevier Science Ireland Ltd.
AB - Objective: To assess the fetal metabolic effects of intrapartum maternal tocolysis with terbutaline in the presence of fetal heart rate abnormalities, with a special emphasis on lactate concentration, in view of its potential use as a marker of fetal condition. Design: Descriptive study. Setting: Two labour wards, National University Hospital, Singapore, and Ostersund Hospital, Sweden. Methods: Eight parturients with abnormal intrapartum fetal heart rate recordings were given bolus i.v. injection of 0.25 mg terbutaline and monitored both before and 20 minutes after treatment. Results: Maternal venous glucose increased from 5.0 (0.9) (mean (SD)) to 5.6 (1.2) mmol/l (p=0.002) and fetal scalp blood glucose rose from 4.1 (1.8) to 4.7 (1.4) mmol/l (p=0.009) 20 minutes after the injection. No significant change was found in maternal or fetal lactate concentrations. Conclusion: Terbutaline tocolysis for 'intrauterine resuscitation' does not affect fetal lactate concentration 20 minutes after treatment. Copyright (C) 2000 Elsevier Science Ireland Ltd.
UR - http://www.scopus.com/inward/record.url?scp=0034177299&partnerID=8YFLogxK
U2 - 10.1016/S0301-2115(99)00211-0
DO - 10.1016/S0301-2115(99)00211-0
M3 - Article
C2 - 10725576
AN - SCOPUS:0034177299
SN - 0301-2115
VL - 89
SP - 165
EP - 168
JO - European Journal of Obstetrics Gynecology and Reproductive Biology
JF - European Journal of Obstetrics Gynecology and Reproductive Biology
IS - 2
ER -