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With a methodical review of the published literature, and using one randomized controlled trial, seven controlled studies, nine randomized studies of various surveillance methods and data from the Danish National Birth Registry, we have assessed the usefulness of fetal scalp blood sampling as a complementary tool to improve the specificity and sensitivity of electronic cardiotocography. Based on heterogeneous studies of modest quality with somewhat inconsistent results, we conclude that fetal scalp blood sampling in conjunction with cardiotocography can reduce the risk of operative delivery. Fetal scalp blood sampling can provide additional information on fetal wellbeing and fetal reserves at a time before decisions are made concerning the need for and timing of operative delivery and the choice of anesthesia, and be an adjunct in the interpretation of cardiotocography patterns.<\/jats:p>","DOI":"10.1111\/aogs.12421","type":"journal-article","created":{"date-parts":[[2014,5,8]],"date-time":"2014-05-08T07:26:04Z","timestamp":1399533964000},"page":"548-555","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Fetal scalp blood sampling in labor \u2013 a review"],"prefix":"10.1111","volume":"93","author":[{"given":"Jan S.","family":"J\u00f8rgensen","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics Odense University Hospital University of Southern Denmark Institute of Clinical Research Perinatal Research Unit Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Hvidovre Hospital University of Copenhagen Hvidovre Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,5,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-197512000-00003"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1879-3479.1977.tb00738.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(95)80027-1"},{"key":"e_1_2_9_5_1","first-page":"CD000063","article-title":"Continuous electronic heart rate monitoring for fetal assessment during labor","volume":"2","author":"Thacker SB","year":"2001","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02590014"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpme.1981.9.4.165"},{"key":"e_1_2_9_8_1","first-page":"127","volume-title":"Fetal scalp blood analysis: current practice. intrapartum fetal surveillance","author":"Steer P","year":"1993"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(94)90277-1"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1995.tb10878.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiochem.2011.03.007"},{"key":"e_1_2_9_12_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":"3","author":"East CE","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2007.10.004"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1978.tb15600.x"},{"key":"e_1_2_9_15_1","unstructured":"WeberT.pH Monitoring during labor with special reference to contnuous fetal scalp. 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