Clinical opinion published on use of maternal oxygen during labor

February 20, 2014

When a fetal heartbeat pattern becomes irregular during labor, many practitioners give oxygen to the mother. But questions remain whether this oxygen supplementation benefits the fetus or may actually be potentially harmful.

A clinical opinion written by third year resident Maureen Hamel, MD, along with maternal-fetal medicine specialists Brenna Anderson, MD and Dwight Rouse, MD, of the Department of Obstetrics and Gynecology at Women & Infants Hospital of Rhode Island and The Warren Alpert Medical School of Brown University, has been published in the January 10, 2014 online edition of the American Journal of Obstetrics & Gynecology.

The manuscript, entitled "Oxygen for intrauterine resuscitation: Of unproved benefit and potentially harmful," aimed to make recommendations about the safety of the use of maternal oxygen supplementation in laboring women.

According to lead author Dr. Hamel, "Maternal oxygen is often given to laboring women to improve fetal metabolic status or in an attempt to alleviate non-reassuring fetal heart rate patterns. However, there are only two randomized trials investigating the use of maternal oxygen supplementation in laboring women. These studies did not find that supplementation is likely to benefit the and may even be harmful."

Based on their research, the team concludes that until it is studied properly in a randomized clinical trial, maternal oxygen supplementation in labor should be reserved for maternal hypoxia (lack of oxygen) and should not be considered an indicated intervention for non-reassuring fetal status.

Explore further: Study finds elevated levels of cell-free DNA in first trimester do not predict preeclampsia

Related Stories

Popular fetal monitoring method leads to more c-sections

February 15, 2012

Pregnant women in labor, upon arriving at the hospital, will often have their baby’s heart rate monitored to assess the baby’s wellbeing. A new research review suggests that the use of one popular method of monitoring ...

Recommended for you

US hospital to offer uterus transplants

November 13, 2015

A leading US hospital said Thursday it is preparing to offer women uterine transplants, a technology that has been proven in Sweden and could help those struggling with infertility.


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.