Introducing Fetal Scalp Stimulation as an Adjunct to Intermittent Auscultation in Low-Resource Settings.
Fetal Distress, Stillbirth, Birth Asphyxia
About this trial
This is an interventional diagnostic trial for Fetal Distress focused on measuring fetal monitoring, cesarean delivery, obstetrics, midwifery, developing countries
Eligibility Criteria
Inclusion Criteria:
- Gestational Age ≥ 37 weeks
- Singleton gestation
- Cephalic presentation
- First stage of labor
- Fetal distress diagnosed in the labor ward by either FHR >160 or <110, and/or grade 2-3 meconium-stained liquor
Exclusion Criteria:
- Chorioamnionitis
- Known fetal anomaly
- Antepartum hemorrhage
- Eclampsia
- Other maternal/fetal factors precluding vaginal delivery
Sites / Locations
- Kilimanjaro Christian Medical Center
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Pre-Intervention
Post-intervention
A consecutive sample of 350 patients will be collected. After informed consent, data will be abstracted from the patient's record including day and time of delivery, method of delivery, parity, gestational age, meconium presence, heart rate abnormality and induction methods. For CD, the following data will be collected: decision-to-delivery time, Partogram adherence, time of each FSST, Apgar score, date and time of delivery and Comorbidities such as: Hypertension-spectrum disorders, Malaria, Postpartum Hemorrhage, Macrosomia, History of CD, Diabetes, Sickle Cell, and HIV status.
The study will take place on the labor ward at KCMC in Moshi, Tanzania. It will involve women who present to the labor ward in labor or who undergo an induction of labor. A consecutive sample of 350 patients will be collected. Study investigators will be present for 24 hours a day, 7 days a week on a rotating schedule during the enrollment period. All patients who fit inclusion and exclusion criteria will be approached if they are deemed medically stable.