The strength of correlation between umbilical cord pH and early neonatal outcome

R. Prasanna; P. Karthikeyan; M. Mani; P. Paramanantham; P. Sekar

doi:10.18203/2349-3291.ijcp20160145

Authors

R. Prasanna Department of Pediatrics and Neonatology, SRM Medical College Hospital and Research Center, Kattankulathur, Chennai, India
P. Karthikeyan Department of Pediatrics and Neonatology, SRM Medical College Hospital and Research Center, Kattankulathur, Chennai, India
M. Mani Department of Pediatrics and Neonatology, SRM Medical College Hospital and Research Center, Kattankulathur, Chennai, India
P. Paramanantham Department of Pediatrics and Neonatology, SRM Medical College Hospital and Research Center, Kattankulathur, Chennai, India
P. Sekar Department of Pediatrics and Neonatology, SRM Medical College Hospital and Research Center, Kattankulathur, Chennai, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20160145

Keywords:

Umbilical arterial pH, Perinatal asphyxia, Early neonatal outcome

Abstract

Background: Umbilical artery gas parameters have been used reliably to detect intrauterine asphyxia.

Methods: We analyzed umbilical arterial gas parameters in depressed children and compared it with normal children.

Results: Nearly one third of depressed babies had low pH. Umbilical cord acidosis correlated with increased incidence in seizures (P=0.000), incidence of HIE (P=0.000), risk of intubation (0.001) and thrombocytopenia (0.008). Overall mortality was one fourth, but a significant association could not be ascertained. Also we can confirm that pH less than 7.00 is significant as per AAP and NNF rather than 7.20, defined by ACOG.

Conclusions: We conclude that a decrease in umbilical arterial pH among cases was significantly associated with increased risk of intubation and need for mechanical ventilation, seizures, Hypoxic ischemic encephalopathy.

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