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Neurodevelopmental outcome at 24 months of healthy infants at birth with an umbilical artery blood pH ≤ 7 and/or hyperlactacidemia ≥ 7 mmol/L.
Dain, Clémence; Roze, Jean-Christophe; Olivier, Marion; Bossard, Margot; Praud, Mathilde; Flamant, Cyril.
Afiliação
  • Dain C; Department of Neonatal Medicine, Departmental Hospital Centre of Vendee, La Roche sur Yon, France.
  • Roze JC; Department of Neonatal Medicine, Nantes University Hospital, Nantes, France.
  • Olivier M; Loire Infant Follow-up Team" (LIFT) Network, Pays De Loire, France.
  • Bossard M; Maternity Hospital, Cholet Hospital Center, Cholet, France.
  • Praud M; Liberal Midwife, Nantes, France.
  • Flamant C; Department of Neonatal Medicine, Nantes University Hospital, Nantes, France.
Birth ; 48(2): 178-185, 2021 06.
Article em En | MEDLINE | ID: mdl-33511681
OBJECTIVE: The incidence of acidosis in term and healthy newborns and the consequences for their neurodevelopment are poorly understood. The aim of our study was to assess neurodevelopmental outcomes at 24 months of age via a parental questionnaire (ASQ, Ages and Stages Questionnaires) for a sample of infants born at term with an umbilical arterial blood pH ≤ 7 or/and hyperlactacidemia ≥ 7 mmol/L. In addition, we compared these groups' neurodevelopmental outcomes with a control group. METHODS: During the 29 months of the study, we retrospectively included all children who had an umbilical artery (UA) cord blood pH ≤ 7 and/or lactates ≥ 7 mmol/L with good clinical adaptation. We also included a control group of term newborns with normal gases at birth. Ages and Stages questionnaires were sent to parents at 24 months of age. RESULTS: Among the 9016 births during the study, 7.1% of babies had a UA pH ≤ 7 and/or lactates ≥ 7 mmol/L. The ASQ was considered non-optimal for 32.2% and 36.3% of respondents in the acidosis and control group, respectively, without any significant difference (P = 0.382). After matching for gestational age and sex, there was also no significant difference in the rate of non-optimal ASQ. The percentage of abnormal communication was significantly higher in the control group (19.7% vs 11.4%, P = 0.015). CONCLUSIONS: Isolated biochemical umbilical cord blood abnormalities in term or near-term newborns with good adaptation do not appear to have a long-term impact on development. These results are rather reassuring, and the absence of specific follow-up for these children seems reasonable.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artérias Umbilicais / Sangue Fetal Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Infant / Newborn / Pregnancy Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artérias Umbilicais / Sangue Fetal Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Infant / Newborn / Pregnancy Idioma: En Ano de publicação: 2021 Tipo de documento: Article