Association between Umbilical Artery Cord pH, Five-Minute Apgar Scores and Neonatal Outcome
| Autor: | Janice E. Whitty, Akolisa Anyaegbunam, Oded Langer, Lois Brustman, Adiel Fleischer, Georgia Randolph |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Infections Umbilical cord Meconium Predictive Value of Tests Risk Factors Intensive Care Units Neonatal medicine.artery medicine Meconium aspiration syndrome Humans Prospective cohort study reproductive and urinary physiology Neonatal sepsis Obstetrics business.industry Infant Newborn Obstetrics and Gynecology Umbilical artery Hydrogen-Ion Concentration Fetal Blood medicine.disease female genital diseases and pregnancy complications Meconium Aspiration Syndrome medicine.anatomical_structure Reproductive Medicine Anesthesia Predictive value of tests Apgar Score population characteristics Female Apgar score Acidosis business |
| Zdroj: | Gynecologic and Obstetric Investigation. 32:220-223 |
| ISSN: | 1423-002X 0378-7346 |
| Popis: | A prospective study was conducted of 270 intrapartum patients admitted in labor to investigate the independent and combined relationships between umbilical arterial cord pH and Apgar scores and neonatal outcome. The results revealed that when assessed independently, a low 5-min Apgar score (less than 7) was associated with both NICU admission and neonatal sepsis. When categorized by both cord pH and 5-min Apgar, the majority of patients (75.9%) had both parameters normal, 20.7% had an abnormal pH (less than 7.20) and normal Apgar (greater than or equal to 7) and few patients had either both normal or an abnormal Apgar given a normal pH. Given a normal 5-min Apgar score, additional information about the cord pH did not enhance the predictability for either NICU admission or neonatal sepsis. Neonates with both an abnormal pH and 5-min Apgar had the highest incidence of NICU admission. For all neonates, the presence of meconium greatly increased the likelihood of being admitted to the NICU. |
| Databáze: | OpenAIRE |
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