| Autor: |
Farzipour, Shahla, Jalilvand, Faranak, Zandian, Hamed, Ghazi, Ahoura |
| Předmět: |
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| Zdroj: |
Caspian Journal of Pediatrics; Sep2021, Vol. 7 Issue 2, p552-559, 8p |
| Abstrakt: |
Background and Objective: Despite the value of the APGAR score in diagnosing neonates with fetal distress and intrauterine asphyxia, a low APGAR score does not necessarily indicate fetal asphyxia. The non-stress test (NST) is a method, monitoring the fetal health and providing data on the proper time for ending the pregnancy in emergent situations; however, sometimes it is not very accurate to diagnose hypoxia leading to unnecessary cesarean delivery. The aim of this study is evaluating of Umbilical cord PH and APGAR score of neonates born by cesarean section due to the fetal distress in NST. Methods: In this analytical cross-sectional study, all 139 neonates with an impaired NST were enrolled at 2018. In addition to information such as 1st and 5th minute APGAR scores and umbilical cord pH, the demographic data of mothers and neonates were gathered. Findings: In total, 252 impaired NST patterns were found in all studied neonates. Bradycardia and late decelerations had a significant relationship with acidosis. Moreover, late decelerations were associated with lower APGAR scores. Umbilical artery pH was significantly correlated with 1-minute (r=0.34; P=0.001) and 5-minute APGAR scores (r=0.32; P=0.001). Positive predictive value of NST was 48.9%. Conclusion: The results showed that NST had a moderate positive predictive value for the diagnosis of fetal acidosis in neonates with tachycardia or non-reactive NST. There was a significant relationship between late deceleration and arterial acidosis with first and five minute APGAR score in neonates. The mean total arterial acidosis rate was significantly lower in the group with APGAR score less than 7. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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