Umbilical cord blood gases sampling in low-risk vaginal deliveries as a predictor of adverse neonatal outcome.
Arch Gynecol Obstet
; 309(2): 523-531, 2024 02.
Article
em En
| MEDLINE
| ID: mdl-36801967
ABSTRACT
INTRODUCTION:
There is no clear correlation between abnormal umbilical cord blood gas studies (UCGS) and adverse neonatal outcome in low-risk deliveries. We investigated the need for its routine use in low-risk deliveries.METHODS:
We retrospectively compared maternal, neonatal, and obstetrical characteristics among low-risk deliveries (2014-2022) between "normal" and "abnormal" pH groups Anormal pH ≥ 7.15; abnormal pH < 7.15; B normal pH ≥ 7.15 and base excess (BE) > - 12 mmol/L; abnormal pH < 7.15 and BE ≤ We retrospectively compared 12 mmol/L; C normal pH ≥ 7.1; abnormal pH < 7.1; D normal pH > 7.1 and BE > - 12 mmol/L; abnormal pH < 7.1 and BE ≤ - 12 mmol/L.RESULTS:
Of 14,338 deliveries, the rates of UCGS were A-0.3% (n = 43); B-0.07% (n = 10); C-0.11% (n = 17); D-0.03% (n = 4). The primary outcome, composite adverse neonatal outcome (CANO) occurred in 178 neonates with normal UCGS (1.2%) and in only one case with UCGS (2.6%). The sensitivity and specificity of UCGS as a predictor of CANO were high (99.7-99.9%) and low (0.56-0.59%), respectively.CONCLUSION:
UCGS were an uncommon finding in low-risk deliveries and its association with CANO was not clinically relevant. Consequently, its routine use should be considered.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Parto Obstétrico
/
Sangue Fetal
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article