{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T16:51:53Z","timestamp":1778691113000,"version":"3.51.4"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,7,31]],"date-time":"2017-07-31T00:00:00Z","timestamp":1501459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Point\u2010of\u2010care lactate devices are used worldwide for intrapartum decision making. Current practice is often based on Lactate Pro (Arkray) but its imminent product discontinuation necessitates determination of an optimal replacement device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the performance of Lactate Pro and two other point\u2010of\u2010care devices, Lactate Pro 2 (Arkray) and StatStrip (Nova Biomedical), and to derive scalp lactate cut\u2010offs equivalent to the current intervention trigger of &gt;4.8\u00a0mmol\/L.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Paired umbilical cord arterial and venous blood samples from 109 births were tested on the three point\u2010of\u2010care products (two devices each), cross\u2010compared with the reference method blood gas analyser.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All brands deviate from the blood gas analyser, with Lactate Pro and StatStrip results consistently lower and Lactate Pro 2 consistently higher. Standard deviation from the blood gas analyser was smallest for StatStrip (0.78\u00a0mmol\/L, cord artery), and largest for Lactate Pro 2 (1.03\u00a0mmol\/L, cord artery). Within\u2010brand variation exists and is similar for all brands (mean absolute difference on cord artery 0.23\u20130.30\u00a0mmol\/L). Equivalent values to the 4.8\u00a0mmol\/L intervention threshold based on Lactate Pro are 4.9\u20135.0\u00a0mmol\/L for StatStrip and 5.3\u20135.9\u00a0mmol\/L for Lactate Pro 2, calculated by receiver\u2010operating characteristic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>StatStrip appears superior to Lactate Pro 2 to replace the original Lactate Pro. Using StatStrip, the 4.8\u00a0mmol\/L intervention threshold equivalent was 4.9\u20135.0\u00a0mmol\/L. The variation in accuracy of point\u2010of\u2010care lactate devices may exceed the small increments (eg &lt;4.2\u00a0mmol\/L vs &gt;4.8\u00a0mmol\/L) that guide obstetric decisions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12671","type":"journal-article","created":{"date-parts":[[2017,7,31]],"date-time":"2017-07-31T06:42:37Z","timestamp":1501483357000},"page":"72-78","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Point\u2010of\u2010care measurement of fetal blood lactate \u2013 Time to trust a new device"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6509-6926","authenticated-orcid":false,"given":"Mandy","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Westmead Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School Westmead University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seng C.","family":"Chua","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Westmead Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School Westmead University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilain","family":"Bouhadir","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Westmead Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School Westmead University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin L.","family":"Treadwell","sequence":"additional","affiliation":[{"name":"Sydney Medical School Westmead University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Gibbs","sequence":"additional","affiliation":[{"name":"NHMRC Clinical Trials Centre University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Therese M.","family":"McGee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Westmead Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School Westmead University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i6405"},{"key":"e_1_2_7_3_1","first-page":"637","article-title":"Fetal scalp blood sampling in labor: a review","volume":"69","author":"J\u00f8rgensen JS","year":"2014","journal-title":"Acta Obstet Gynecol Scand"},{"key":"e_1_2_7_4_1","unstructured":"National Institute for Health and Care Excellence.Intrapartum care: care of healthy women and their babies during childbirth. 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