The influence of scalp sampling on the cesarean section rate for fetal distress

American Journal of Obstetrics and Gynecology
R W Zalar, E J Quilligan


One year's obstetric experience at Los Angeles County-University of Southern California Medical Center was reviewed and compared with previous years. The incidence of cesarean section for fetal distress is low and has remained constant over the past 7 years. Periodic changes and decreased baseline variability of the fetal heart rate accounted for 39% of the diagnoses of fetal distress in this group. Scalp sampling clarified the diagnosis of fetal distress and prevented unnecessary cesarean section. Compromised perinatal outcome in the greater than 2,500 gram weight group was confined to those who were monitored, had indications for monitoring, or had identifiable prospective risk factors, with rare exceptions.


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Related Concepts

Entire Scalp
Postcesarean Section
Fetal Distress
Scalp Structure
Fetal Monitoring
Fetal Heart
Low Birth Weight Infant
Hospitals, University
Apgar Score
Hydrogen-Ion Concentration

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