International Journal of Health and Clinical Research

Yazarlar: Col V.B. Tripathi, Lt Col R.K. Singh, Maj Narender Sharma

Konular:-

Anahtar Kelimeler:Arterial blood gas analysis,PH,Umbilical artery,Vaginal delivery,Cesarean delivery.

Özet: Background: Abnormal umbilical cord pH can be indicated distress imposed on newborns and can also be useful in determining the prognosis of the newborn.Objective: to study the effect of mode of delivery on umbilical cord artery acid-base balance among term neonates. Materials and methods: The present prospective analytical cross-sectional study was conducted in the Department of Pediatrics, Military Hospital Dehradun, India among 100 singleton term  neonates which were included during 6 months period Jan 2020 to Jun 2020. The neonates were divided into two groups: (group I) includes vaginal delivery (NVD) and (group II) non-emergency cesarean section (LSCS) under spinal anesthesia. Results: The mean gestational age and birth weight in NVD group were 39.91±1.10 weeks and 3.28±0.36 Kg respectively. In LSCS group mean gestational age was 38.01±0.91 weeks and mean birth weight was 3.10±0.46 kg. The mean umbilical artery pH and pCO2 in NVD group and LSCS group were (7.26±0.07, 7.32±0.07) and (47.76±9.86, 42.76±10.84) p≤0.05 respectively. Conclusion: considering the effect of umbilical artery blood pH on studying the prognosis of newborns under stress, it is recommended that at least in the case of stressful deliveries either vaginal deliveries and caesareans, the umbilical artery pH values estimation should be done properly Keywords: arterial blood gas analysis, pH, umbilical artery, vaginal delivery, cesarean delivery.

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