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Amniotic lactate and oxytocin augmentation

Wiberg-Itzel E et al.

Amniotic fluid lactate (AFL) level measured before initiating oxytocin to augmentprimiparous labour may predict success. In this large observational study where AFLresults were concealed from the clinical staff, a raised value (≥10.1 mmol/l) wasassociated with an increased risk (odds ratio 5.2; 95% confidence interval 3.2-8.4) ofoperative delivery.

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Commentaries by Editor Prof. Jim Thornton