Umbilical cord blood pH in intrapartum hypoxia. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2015]

Author(s):

1. Fouzia Perveen: Department of Obstetrics and Gynaecology, DIMC and DUHS, Civil Hospital, Karachi, Pakistan

2. Ayesha Khan: Department of Obstetrics and Gynaecology, DIMC and DUHS, Civil Hospital, Karachi, Pakistan

3. Tahmina Ali: Department of Obstetrics and Gynaecology, DIMC and DUHS, Civil Hospital, Karachi, Pakistan

4. Syeda Rabia: Department of Obstetrics and Gynaecology, DIMC and DUHS, Civil Hospital, Karachi, Pakistan

Abstract:

Objective: To determine the association of cord arterial blood pH with neonatal outcome in cases of intrapartum fetal hypoxia. Study Design: Descriptive analytical study. Place and Duration of Study: Gynaecology Unit-II, Civil Hospital, Karachi, from September 2011 to November 2012. Methodology: All singleton cephalic fetuses at term gestation were included in the study. Those with any anomaly, malpresentation, medical disorders, maternal age 7.25, neonatal outcome measures (healthy, NICU admission or neonatal death), color of liquor and mode of delivery recorded on predesigned proforma. Statistical analysis performed by SPSS 16 by using independent-t test or chi-square test and ANOVAtest as needed. Results: Atotal of 204 newborns were evaluated. The mean pH level was found to be significantly different (p=0.007) in two groups. The pH value 7.25 had significant association (p 7.25. Majority (63.6%) cases needed caesarean section as compared to 31.4% controls. Conclusion: There is a significant association of cord arterial blood pH at birth with neonatal outcome at pH 7.25; but below the level of pH 7.25 it is still inconclusive.

Page(s): 667-670

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 25, Issue: 9, Year: 2015

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