Association between Umbilical Artery Cord pH, Five-Minute Apgar Scores and Neonatal Outcome
作者:
Akolisa Anyaegbunam,
Adiel Fleischer,
Janice Whitty,
Lois Brustman,
Georgia Randolph,
Oded Langer,
期刊:
Gynecologic and Obstetric Investigation
(Karger Available online 1991)
卷期:
Volume 32,
issue 4
页码: 220-223
ISSN:0378-7346
年代: 1991
DOI:10.1159/000293036
出版商: S. Karger AG
关键词: Apgar score;Umbilical cord pH
数据来源: Karger
摘要:
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 (< 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 (< 7.20) and normal Apgar (> 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.
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