Umbilical cord blood gases in newborns with or without nuchal cord: a comparative study

"nBackground: Entanglement of the umbilical cord around fetal neck has been reported to be associated with birth asphyxia. On the other hand, current evidence suggests that umbilical arterial pH analysis provides the most sensitive reflection of birth asphyxia. In this study we aimed to eva...

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Main Authors: Shabani Zanjani M, Ebrahimi N
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2011-08-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/19205.pdf&manuscript_id=19205
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author Shabani Zanjani M
Ebrahimi N
author_facet Shabani Zanjani M
Ebrahimi N
author_sort Shabani Zanjani M
collection DOAJ
description "nBackground: Entanglement of the umbilical cord around fetal neck has been reported to be associated with birth asphyxia. On the other hand, current evidence suggests that umbilical arterial pH analysis provides the most sensitive reflection of birth asphyxia. In this study we aimed to evaluate and compare the umbilical arterial hydrogen-ion concentration (pH) and to analyze the blood gases of neonates with or without nuchal cord."n "nMethods: In this cohort study, 92 newborns with and 95 without nuchal cords were enrolled at Shahid Akbar Abadi Hospital in Tehran, Iran between the years 2009 and 2010. From each newborn an umbilical arterial blood sample was collected to measure pH, base excess and blood gases."n "nResults: There were no statistically significant differences between newborns with or without nuchal cord regarding maternal age, gestational age, and history of pregnancy. The mean pH in the newborns with nuchal cord (7.21±0.1) was significantly less than the value in the newborns without the cord (7.28±0.1), (P<0.001). In contrast, the mean base excess in the newborns with nuchal cord was more than the ones without the cord (P<0.001). Seven newborns (7.9%) in the group with nuchal cord passed meconium during labor while only one (1%) newborn did so in the other group."n "nConclusion: Our finding showed that nuchal cord had a significant relationship with acidosis in newborns with nuchal cord. However, this finding needs further investigation to reach a common conclusion. "n 
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spelling doaj.art-490e3e7ff9d94adc805e6078d7b761dd2022-12-22T03:30:27ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222011-08-01695315321Umbilical cord blood gases in newborns with or without nuchal cord: a comparative studyShabani Zanjani MEbrahimi N"nBackground: Entanglement of the umbilical cord around fetal neck has been reported to be associated with birth asphyxia. On the other hand, current evidence suggests that umbilical arterial pH analysis provides the most sensitive reflection of birth asphyxia. In this study we aimed to evaluate and compare the umbilical arterial hydrogen-ion concentration (pH) and to analyze the blood gases of neonates with or without nuchal cord."n "nMethods: In this cohort study, 92 newborns with and 95 without nuchal cords were enrolled at Shahid Akbar Abadi Hospital in Tehran, Iran between the years 2009 and 2010. From each newborn an umbilical arterial blood sample was collected to measure pH, base excess and blood gases."n "nResults: There were no statistically significant differences between newborns with or without nuchal cord regarding maternal age, gestational age, and history of pregnancy. The mean pH in the newborns with nuchal cord (7.21±0.1) was significantly less than the value in the newborns without the cord (7.28±0.1), (P<0.001). In contrast, the mean base excess in the newborns with nuchal cord was more than the ones without the cord (P<0.001). Seven newborns (7.9%) in the group with nuchal cord passed meconium during labor while only one (1%) newborn did so in the other group."n "nConclusion: Our finding showed that nuchal cord had a significant relationship with acidosis in newborns with nuchal cord. However, this finding needs further investigation to reach a common conclusion. "n http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/19205.pdf&manuscript_id=19205Cohort studyhydrogen-ion concentrationnuchal cordumbilical artery
spellingShingle Shabani Zanjani M
Ebrahimi N
Umbilical cord blood gases in newborns with or without nuchal cord: a comparative study
Tehran University Medical Journal
Cohort study
hydrogen-ion concentration
nuchal cord
umbilical artery
title Umbilical cord blood gases in newborns with or without nuchal cord: a comparative study
title_full Umbilical cord blood gases in newborns with or without nuchal cord: a comparative study
title_fullStr Umbilical cord blood gases in newborns with or without nuchal cord: a comparative study
title_full_unstemmed Umbilical cord blood gases in newborns with or without nuchal cord: a comparative study
title_short Umbilical cord blood gases in newborns with or without nuchal cord: a comparative study
title_sort umbilical cord blood gases in newborns with or without nuchal cord a comparative study
topic Cohort study
hydrogen-ion concentration
nuchal cord
umbilical artery
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/19205.pdf&manuscript_id=19205
work_keys_str_mv AT shabanizanjanim umbilicalcordbloodgasesinnewbornswithorwithoutnuchalcordacomparativestudy
AT ebrahimin umbilicalcordbloodgasesinnewbornswithorwithoutnuchalcordacomparativestudy