PMID- 32476767 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240328 IS - 0971-9202 (Print) IS - 0975-6434 (Electronic) IS - 0975-6434 (Linking) VI - 70 IP - 3 DP - 2020 Jun TI - An Integrated System for Fetal Scalp Visualization, Blood Collection and Analysis. PG - 208-213 LID - 10.1007/s13224-020-01313-9 [doi] AB - KEY MESSAGE: The new NB scope aids in better visualization of the scalp and blood collection and analysis at bed side. OBJECTIVE: Caesarean section rates and inherent complications are on the rise all over the world. One way to avoid a caesarean is to measure fetal scalp blood lactate levels. The methods available to visualize fetal scalp, obtain the blood sample and perform the blood test are separate, cumbersome and expensive, needing a certain level of expertise. We propose a device that incorporates all the steps of obtaining a fetal scalp blood lactate into one sleek, easy to use device. METHODS: The initial design, 3-D print and was tried on mannequin. After ethics committee approval, the prototype was experimented on patients in labour with singleton live fetus in cephalic presentation with no evidence of distress. RESULTS: There were (n = 9) patients recruited. There were (n = 5) primigravida and (n = 4) multigravida all of whom were in active labour. Parity did not seem to influence ease of instrumentation. Of the (n = 9) mothers (n = 2) had meconium-stained liquor and the rest (n = 7) had clear liquor, meconium-stained liquor did not affect visualization. The mean time taken to collect the sample was 184.11(+/- 33.04) seconds. CONCLUSION: The Neeraj-Bhaskar (NB) scope is an easy to use, affordable device that can be used time and again to decide on cases where emergency caesarean section can be avoided due to fetal distress. CI - (c) Federation of Obstetric & Gynecological Societies of India 2020. FAU - Kulkarni, Neeraj AU - Kulkarni N AD - 1Department of Obstetrics and Gynecology Unit 4, Christian Medical College, Vellore, Tamil Nadu India. GRID: grid.11586.3b. ISNI: 0000 0004 1767 8969 FAU - Rosario, Deepti Pinto AU - Rosario DP AD - 1Department of Obstetrics and Gynecology Unit 4, Christian Medical College, Vellore, Tamil Nadu India. GRID: grid.11586.3b. ISNI: 0000 0004 1767 8969 FAU - Akkal, Shruthi AU - Akkal S AD - 2Department of Sensor and Biomedical Technology, School of Electronics Engineering VIT Vellore, Vellore, Tamil Nadu India. GRID: grid.412813.d. ISNI: 0000 0001 0687 4946 FAU - Beck, Manisha Madhai AU - Beck MM AD - 1Department of Obstetrics and Gynecology Unit 4, Christian Medical College, Vellore, Tamil Nadu India. GRID: grid.11586.3b. ISNI: 0000 0004 1767 8969 FAU - David, Liji Sarah AU - David LS AD - 1Department of Obstetrics and Gynecology Unit 4, Christian Medical College, Vellore, Tamil Nadu India. GRID: grid.11586.3b. ISNI: 0000 0004 1767 8969 FAU - Vijayaselvi, Reeta AU - Vijayaselvi R AD - 1Department of Obstetrics and Gynecology Unit 4, Christian Medical College, Vellore, Tamil Nadu India. GRID: grid.11586.3b. ISNI: 0000 0004 1767 8969 FAU - Murari, Bhaskar Mohan AU - Murari BM AD - 2Department of Sensor and Biomedical Technology, School of Electronics Engineering VIT Vellore, Vellore, Tamil Nadu India. GRID: grid.412813.d. ISNI: 0000 0001 0687 4946 LA - eng PT - Journal Article DEP - 20200506 PL - India TA - J Obstet Gynaecol India JT - Journal of obstetrics and gynaecology of India JID - 0374763 PMC - PMC7239983 OTO - NOTNLM OT - Fetal scalp blood sampling OT - Fetal scalp lactate OT - Fetal scalp visualization OT - NB scope COIS- Conflict of InterestAll the authors do not have any conflict of interest. The manufactures also do not have any conflict of interest. Intellectual Property India No. 201741011937. EDAT- 2020/06/02 06:00 MHDA- 2020/06/02 06:01 PMCR- 2021/06/01 CRDT- 2020/06/02 06:00 PHST- 2019/08/06 00:00 [received] PHST- 2020/04/04 00:00 [accepted] PHST- 2020/06/02 06:00 [entrez] PHST- 2020/06/02 06:00 [pubmed] PHST- 2020/06/02 06:01 [medline] PHST- 2021/06/01 00:00 [pmc-release] AID - 1313 [pii] AID - 10.1007/s13224-020-01313-9 [doi] PST - ppublish SO - J Obstet Gynaecol India. 2020 Jun;70(3):208-213. doi: 10.1007/s13224-020-01313-9. Epub 2020 May 6.