Reliability of transcutaneous measurement of oxygen and carbon dioxide partial pressure with a combined Po2-Pco2 electrochemical sensor in the fetus during labor. 1985

S Schmidt, and K Langner, and J W Dudenhausen, and E Saling

A combined single electrochemical sensor designed to measure synchronously and transcutaneously oxygen partial pressure and carbon dioxide partial pressure (RADIOMETER prototype) was applied onto the scalp in 21 fetuses during labor. The values of tcPo2 respectively tcPco2 were compared with the values of fetal blood analysis (FBA) and blood from the umbilical artery (UA): Comparing the tcPco2 with the values of the FBA we found the values to be very consistent (r = 0.95, p less than 0.001). For the comparison of the tcPco2 with the values of the umbilical artery, the correlation coefficient was lower (r = 0.76, p less than 0.05). The transcutaneous measurement of Po2 as compared with the values of the fetal blood analysis was also quite accurate (r = 0.83, p less than 0.001). Looking at the values of the transcutaneous measurement during the expulsion of the fetus and its comparison with the values of the umbilical artery, it was an interesting finding that values of the transcutaneous estimation of Po2 were much lower in some cases and no statistical correlation was found (p greater than 0.05). We conclude that the combined electrochemical sensor for measuring tcPco2 and tcPo2 is a new additional tool for studying the physiology and pathophysiology of the fetus during labor, but as the accuracy of Po2 and Pco2 in the fetal blood is influenced by the progress of labor, the special characteristic of the transcutaneous measurement has to be taken into account when values are interpreted.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007743 Labor, Obstetric The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED). Obstetric Labor
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D002245 Carbon Dioxide A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals. Carbonic Anhydride,Anhydride, Carbonic,Dioxide, Carbon
D004563 Electrochemistry The study of chemical changes resulting from electrical action and electrical activity resulting from chemical changes. Electrochemistries
D004566 Electrodes Electric conductors through which electric currents enter or leave a medium, whether it be an electrolytic solution, solid, molten mass, gas, or vacuum. Anode,Anode Materials,Cathode,Cathode Materials,Anode Material,Anodes,Cathode Material,Cathodes,Electrode,Material, Anode,Material, Cathode
D005260 Female Females
D005312 Fetal Blood Blood of the fetus. Exchange of nutrients and waste between the fetal and maternal blood occurs via the PLACENTA. The cord blood is blood contained in the umbilical vessels (UMBILICAL CORD) at the time of delivery. Cord Blood,Umbilical Cord Blood,Blood, Cord,Blood, Fetal,Blood, Umbilical Cord,Bloods, Cord,Bloods, Fetal,Bloods, Umbilical Cord,Cord Blood, Umbilical,Cord Bloods,Cord Bloods, Umbilical,Fetal Bloods,Umbilical Cord Bloods
D005323 Fetal Monitoring Physiologic or biochemical monitoring of the fetus. It is usually done during LABOR, OBSTETRIC and may be performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as when the mother is undergoing surgery. Monitoring, Fetal,Fetal Monitorings,Monitorings, Fetal

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