{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:36:29Z","timestamp":1747182989894,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T00:00:00Z","timestamp":1609372800000},"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":[[2021,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Intrapartum fetal blood sampling (FBS) is a fetal well\u2010being diagnostic test for cardiotocogram abnormalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to determine whether women who had their first FBS at &lt;4\u00a0cm cervical dilation had an increased risk of operative delivery (caesarean section, instrumental delivery) compared to those women who had their first FBS\u00a0\u2265\u00a04\u00a0cm dilation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Retrospective cohort study involving labouring women who underwent FBS in a tertiary centre between 2015 and 2017. Women who had their first FBS at &lt;4\u00a0cm dilation were compared to those who had their first FBS at \u22654\u00a0cm. The primary outcome was operative delivery (caesarean, instrumental delivery); secondary outcomes were neonatal complications. Univariate logistic regression was used to assess the association between degree of cervical dilation at first FBS and study outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 591 women, 39 (6.6%) had their first FBS at &lt;4\u00a0cm cervical dilation. Women in the \u22654\u00a0cm group were less likely to have a total of \u22652 FBS (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.003). There was no difference in the primary outcome between the two groups. Women who had the first FBS at &lt;4\u00a0cm dilation were twice as likely to have a caesarean section delivery (odds ratio 2.06, 95% confidence interval 1.06\u20133.98), although 41% had a vaginal birth (instrumental and spontaneous). There were no differences in rates of resuscitation or admission to nursery between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women who had their first FBS\u00a0&lt;\u00a04cm cervical dilation were twice as likely to have a caesarean section compared to women who had their first FBS\u00a0\u2265\u00a04\u00a0cm. However, 41% had a vaginal birth, and there were no differences in fetal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13294","type":"journal-article","created":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T14:12:29Z","timestamp":1609423949000},"page":"403-407","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intrapartum fetal blood sampling performed at early cervical dilatation and delivery outcomes"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8148-215X","authenticated-orcid":false,"given":"Simon","family":"West","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal North Shore Hospital St Leonards New South Wales Australia"},{"name":"Sydney Medical School \u2013 Northern The University of Sydney Sydney New South Wales Australia"},{"name":"Women and Babies Research Kolling Institute Northern Sydney Local Health District St Leonards New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6024-2958","authenticated-orcid":false,"given":"Ibinabo","family":"Ibiebele","sequence":"additional","affiliation":[{"name":"Sydney Medical School \u2013 Northern The University of Sydney Sydney New South Wales Australia"},{"name":"Women and Babies Research Kolling Institute Northern Sydney Local Health District St Leonards New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5988-1346","authenticated-orcid":false,"given":"Tanya","family":"Nippita","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal North Shore Hospital St Leonards New South Wales Australia"},{"name":"Sydney Medical School \u2013 Northern The University of Sydney Sydney New South Wales Australia"},{"name":"Women and Babies Research Kolling Institute Northern Sydney Local Health District St Leonards New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,31]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2019.05.007"},{"key":"e_1_2_5_3_1","first-page":"CD006066","article-title":"Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour","volume":"2","author":"Alfirevic Z","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00441-4"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181aef106"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.06.020"},{"volume-title":"Intrapartum Fetal Surveillance Clinical Guideline","author":"RANZCOG","key":"e_1_2_5_7_1"},{"volume-title":"Fetal monitoring during labour guideline","year":"2017","author":"NICE","key":"e_1_2_5_8_1"},{"volume-title":"Fetal blood sampling during labour guideline","year":"2017","author":"NICE","key":"e_1_2_5_9_1"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2006.093"},{"key":"e_1_2_5_11_1","first-page":"CD006174","article-title":"Intrapartum fetal scalp lactate sampling for fetal assessment in the presence of a non\u2010reassuring fetal heart rate trace","volume":"5","author":"East CE","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2004.00306.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12480"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02922.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181aef106"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2016.1140740"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.11.012"},{"key":"e_1_2_5_18_1","unstructured":"Health Maternity \u2010 Fetal Heart Monitoring. 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