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Relationship between Amniotic Fluid Lactate and Delivery by CS Due to Dystocia

    Manal Madany A. Qader

Iraqi Postgraduate Medical Journal, 2016, Volume 15, Issue 4, Pages 499-505

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Abstract

ABSTRACT:
BACKGROUND:
Lactate level in uterine muscles can be visualized by analysis of amniotic fluid lactase which used as bedside test with partogram to acquire good prediction of labour outcome.
OBJECTIVE:
To assess the relationship between amniotic fluid lactase level of full term pregnant women and their mode of delivery.
PATIENTS AND METHODS:
A cross sectional study carried out in Labour room of Al-Yarmouk Teaching Hospital through the period from the 1st of July to the end of December, 2015 on a convenient sample of 100 women of term pregnancy. Each woman participated in the study was in an active phase of labour with cervical dilation > 4 cm and before artificial rupture of membranes .By coscus speculum the cervix was visualized with 2-3 ml of liquor was taken by a syringe while the amniotic fluid still in the uterus to prevent vaginal contamination, then collected liquor in plain tube after centrifuge was stored in refrigerator at -20° for not more than 3 days before it sent to a private laboratory for analysis of lactase.
RESULTS:
Mean maternal age was 26.5±5.4 years and mean gestational age was 38.6±1.1 weeks. Thirty three pregnant women had elevated lactase level and 31 women were delivered with cesarean section. A significant association was observed between elevated amniotic fluid lactate level (≥10nm) among pregnant women and cesarean section delivery mode (p<0.001). Amniotic fluid lactate was a significant predictor of delivery mode (p=0.001) with odds ratio (5.5).
CONCLUSION:
Amniotic fluid lactate could be a significant predictor of labour outcome for term pregnant women.
Keywords:
    KEYWORDS delivery mode Cesarean Section
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(2016). Relationship between Amniotic Fluid Lactate and Delivery by CS Due to Dystocia. Iraqi Postgraduate Medical Journal, 15(4), 499-505.
Manal Madany A. Qader. "Relationship between Amniotic Fluid Lactate and Delivery by CS Due to Dystocia". Iraqi Postgraduate Medical Journal, 15, 4, 2016, 499-505.
(2016). 'Relationship between Amniotic Fluid Lactate and Delivery by CS Due to Dystocia', Iraqi Postgraduate Medical Journal, 15(4), pp. 499-505.
Relationship between Amniotic Fluid Lactate and Delivery by CS Due to Dystocia. Iraqi Postgraduate Medical Journal, 2016; 15(4): 499-505.
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