Evidence map›Paper›PMID 30692611›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2019

Elevated umbilical cord arterial lactate at birth and electronic fetal monitoring characteristics on admission and in the active phase.

Joshua I Rosenbloom, Molly J Stout, Methodius G Tuuli, Julia D López, George A Macones, Alison G Cahill

Open access · greenAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Joshua I RosenbloomDepartment of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA. rosenbloomj@wustl.edu.ORCID http://orcid.org/0000-0001-5843-9399
Molly J StoutDepartment of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Methodius G TuuliDepartment of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Julia D LópezDepartment of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-8197-002X
George A MaconesDepartment of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Alison G CahillDepartment of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Washington University in St. Louis · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
PREDICTING FETAL ACIDEMIA WITH INTRAPARTUM ELECTRONIC FETAL HEART RATE MONITORINGR01HD061619 · NICHD · WASHINGTON UNIVERSITY · PI CAHILL, ALISON G, MACONES, GEORGE A · 2010 to 2014
$2.9M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NCI NIH HHS P30 CA091842NICHD NIH HHS R01 HD061619
6 · The paper itself

Abstract

objectiveTo investigate the association between elevated umbilical arterial lactate at birth and electronic fetal monitoring (EFM) characteristics at admission and in the beginning of the active phase of labor. STUDY

designNested case-control study within a prospective cohort of laboring patients at term who achieved active labor. Neonates with umbilical arterial lactate ≥ 4 mmol/L (cases, n = 119), were matched 1:1 to controls with lactate < 4 mmol/L. EFM patterns were compared with multivariable logistic regression.

resultThere were no differences in EFM parameters in the first 60 minutes after admission. At the beginning of active labor, 13.5% of cases and 26.1% of controls had always category I tracings, adjusted odds ratio 0.48, 95% confidence interval 0.24-0.94). Cases were less likely to have an always category I tracing from admission into the active phase.

conclusionElevated umbilical arterial lactate at birth is associated with distinct EFM patterns early in the labor course.

Indexed as

Heart Rate, FetalLabor, ObstetricAdolescentAdultApgar ScoreCardiotocographyCase-Control StudiesFemaleFetal BloodHumansLactatesLogistic ModelsMaleMultivariate AnalysisPregnancyProspective StudiesLactates

Identifiers

PMID30692611
PMCPMC6427827
OpenAlexW2913360691

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.