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

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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Published

2016-12-31

How to Cite

Prasanna, R., Karthikeyan, P., Mani, M., Paramanantham, P., & Sekar, P. (2016). The strength of correlation between umbilical cord pH and early neonatal outcome. International Journal of Contemporary Pediatrics, 3(1), 134–137. https://doi.org/10.18203/2349-3291.ijcp20160145

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Original Research Articles