Zeitschrift fur Geburtshilfe und Neonatologie · 2007
Consequences of intrauterine acidosis for early morbidity of term newborn infants.
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Dudenhausen J W, Milz T
Аннотация
OBJECTIVES: The study was designed to evaluate early morbidity of term newborn infants according to the umbilical artery pH and umbilical artery base excess.
STUDY DESIGN: The study was based on the 1 173 infants who were born at term in the study period in 1997 with a UA-pH below 7.20. A retrospective review was carried out of maternal and infant records during the study period. All data were evaluated using SPSS for windows.
RESULTS: Apgar-values and UA-pH correlated closely, the rate of 1-minute Apgar scores < 7 increased with decreasing UA-pH. The rate of 5-minute Apgar score < 7 increased strongly with UA-pH below 7.00. The study showed how closely UA-pH values are related to UA-BE values. Of newborns with UA-BE values of 0 to - 9 mmol / l 7 % had 1-minute Apgar scores < 7, 53 % of cases with UA-BE </= - 17 mmol / l were recorded with 1-minute Apgar scores < 7.
CONCLUSIONS: It was demonstated that low Apgar scores - as well as treansfer rates - increase if UA-pH falls below 7.1 and the base excess at the same time is below - 10 mmol / l. The aim of modern obstetrics should be to promote the birth of vital children with normal pH values.
STUDY DESIGN: The study was based on the 1 173 infants who were born at term in the study period in 1997 with a UA-pH below 7.20. A retrospective review was carried out of maternal and infant records during the study period. All data were evaluated using SPSS for windows.
RESULTS: Apgar-values and UA-pH correlated closely, the rate of 1-minute Apgar scores < 7 increased with decreasing UA-pH. The rate of 5-minute Apgar score < 7 increased strongly with UA-pH below 7.00. The study showed how closely UA-pH values are related to UA-BE values. Of newborns with UA-BE values of 0 to - 9 mmol / l 7 % had 1-minute Apgar scores < 7, 53 % of cases with UA-BE </= - 17 mmol / l were recorded with 1-minute Apgar scores < 7.
CONCLUSIONS: It was demonstated that low Apgar scores - as well as treansfer rates - increase if UA-pH falls below 7.1 and the base excess at the same time is below - 10 mmol / l. The aim of modern obstetrics should be to promote the birth of vital children with normal pH values.