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Umbilical cord arterial blood gas and Apgar score: Who is at higher risk?

Mobasheri, E. and Savarrakhsh, M. and Hosseininejad, S.M. and Alaee, E. (2019) Umbilical cord arterial blood gas and Apgar score: Who is at higher risk? Iranian Journal of Neonatology, 10 (2). pp. 50-54.

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Abstract

Background: Fetal asphyxia and the consequent neurological damages could be avoided if the risk factors are controlled at earlier stages. Umbilical cord arterial blood gas (UCABG) seems to be related to the Apgar scores, as well as the neonatal morbidity and mortality rates. Therefore, we designed this study to assess the correlation between the Apgar score and UCABG in Northeast of Iran. Methods: This case-control study evaluated 438 term newborns and 62 preterm infants born during 2012-2013. Peripartum asphyxia, admission in the neonatal intensive care unit, and death were recorded as outcome measures. All the data were analyzed using the t-test and logistic regression analysis. Results: Mild to moderate acidemia (pH=7-7.2) was reported in 9.6 and severe acidemia (PH<7) was observed in 1 of the participants. Multivariate analysis showed that aspiration of amniotic fluid, umbilical cord pH � 7.2, umbilical cord base excess, and being preterm could be considered as the predictors of lower first-minute Apgar score. Conclusion: Umbilical cord blood gas measurement is a useful tool to detect the neonates who are at higher risk of low Apgar. © 2019 Mashhad University of Medical Sciences. All rights reserved.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: acidemia; adult; alkalosis; amniocentesis; Apgar score; arterial gas; Article; controlled clinical trial; controlled study; disease severity; female; high risk patient; hospital admission; human; infant; Iran; major clinical study; male; neonatal intensive care unit; newborn; newborn death; outcome assessment; perinatal asphyxia; perinatal period; population based case control study; population research; pregnant woman; prematurity; umbilical cord blood
Subjects: آسیب شناسی بالینی QY
مامایی WQ
مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 17 Dec 2019 08:32
Last Modified: 17 Dec 2019 08:32
URI: http://eprints.goums.ac.ir/id/eprint/10406

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