Relationship Between Oxygen Saturation and Umbilical Cord pH Immediately After Birth

The aim of this study is to determine the relationship between oxygen saturation (SpO2) by pulse oximetry levels and umbilical cord arterial pH values in healthy newborns during the first 15 minutes of life. Methods: The study was performed with healthy term, appropriate-for-gestational-age newborn...

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Main Authors: Sinan Uslu, Ali Bulbul, Emrah Can, Umut Zubarioglu, Ozgul Salihoglu, Asiye Nuhoglu
Format: Article
Language:English
Published: Elsevier 2012-12-01
Series:Pediatrics and Neonatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957212001064
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author Sinan Uslu
Ali Bulbul
Emrah Can
Umut Zubarioglu
Ozgul Salihoglu
Asiye Nuhoglu
author_facet Sinan Uslu
Ali Bulbul
Emrah Can
Umut Zubarioglu
Ozgul Salihoglu
Asiye Nuhoglu
author_sort Sinan Uslu
collection DOAJ
description The aim of this study is to determine the relationship between oxygen saturation (SpO2) by pulse oximetry levels and umbilical cord arterial pH values in healthy newborns during the first 15 minutes of life. Methods: The study was performed with healthy term, appropriate-for-gestational-age newborn infants. The infants were divided in two groups: umbilical cord arterial blood pH value ≤7.19 (group 1) and >7.19 (group 2); SpO2 levels during the first 15 minutes of life were compared between groups. Results: The study was completed with 129 infants (33 in group 1 and 96 in group 2). A significant correlation was found between first-measured preductal and postductal SpO2 levels by pulse oximetry and umbilical cord arterial pH values ([r2:0.72(0.62 -0.79); p < 0.001] and [r2:0.32(0.25 – 0.54); p < 0.001], respectively). In group 1, infants had lower SpO2 levels at both preductal and postductal measurements during the first 11 minutes of life and time to reach ≥90% SpO2 level was longer compared with infants in group 2. Conclusion: Determination of umbilical arterial blood pH values, in addition to clinical findings and oxygen saturation measurements, might be helpful in deciding the concentration of oxygen and whether or not to continue oxygen supplementation in the delivery room.
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spelling doaj.art-82e63ea8586c45dbb6553afc946c5b1a2022-12-21T19:54:07ZengElsevierPediatrics and Neonatology1875-95722012-12-0153634034510.1016/j.pedneo.2012.08.005Relationship Between Oxygen Saturation and Umbilical Cord pH Immediately After BirthSinan Uslu0Ali Bulbul1Emrah Can2Umut Zubarioglu3Ozgul Salihoglu4Asiye Nuhoglu5Specialist in Neonatology, Department of Pediatrics, Division of Neonatology, Sisli Etfal Children Hospital, Istanbul, TurkeySpecialist in Neonatology, Department of Pediatrics, Division of Neonatology, Sisli Etfal Children Hospital, Istanbul, TurkeySpecialist in Neonatology, Department of Pediatrics, Division of Neonatology, Sisli Etfal Children Hospital, Istanbul, TurkeySpecialist in Pediatrics, Department of Pediatrics, Division of Neonatology, Sisli Children Hospital, Istanbul, TurkeySpecialist in Neonatology, Department of Pediatrics, Division of Neonatology, Bakirkoy Sadi Konuk Education and Research Hospital, Istanbul, TurkeySpecialist in Neonatology, Department of Pediatrics, Division of Neonatology, Sisli Etfal Children Hospital, Istanbul, TurkeyThe aim of this study is to determine the relationship between oxygen saturation (SpO2) by pulse oximetry levels and umbilical cord arterial pH values in healthy newborns during the first 15 minutes of life. Methods: The study was performed with healthy term, appropriate-for-gestational-age newborn infants. The infants were divided in two groups: umbilical cord arterial blood pH value ≤7.19 (group 1) and >7.19 (group 2); SpO2 levels during the first 15 minutes of life were compared between groups. Results: The study was completed with 129 infants (33 in group 1 and 96 in group 2). A significant correlation was found between first-measured preductal and postductal SpO2 levels by pulse oximetry and umbilical cord arterial pH values ([r2:0.72(0.62 -0.79); p < 0.001] and [r2:0.32(0.25 – 0.54); p < 0.001], respectively). In group 1, infants had lower SpO2 levels at both preductal and postductal measurements during the first 11 minutes of life and time to reach ≥90% SpO2 level was longer compared with infants in group 2. Conclusion: Determination of umbilical arterial blood pH values, in addition to clinical findings and oxygen saturation measurements, might be helpful in deciding the concentration of oxygen and whether or not to continue oxygen supplementation in the delivery room.http://www.sciencedirect.com/science/article/pii/S1875957212001064delivery roomnewbornoxygen saturationumbilical cord blood pH
spellingShingle Sinan Uslu
Ali Bulbul
Emrah Can
Umut Zubarioglu
Ozgul Salihoglu
Asiye Nuhoglu
Relationship Between Oxygen Saturation and Umbilical Cord pH Immediately After Birth
Pediatrics and Neonatology
delivery room
newborn
oxygen saturation
umbilical cord blood pH
title Relationship Between Oxygen Saturation and Umbilical Cord pH Immediately After Birth
title_full Relationship Between Oxygen Saturation and Umbilical Cord pH Immediately After Birth
title_fullStr Relationship Between Oxygen Saturation and Umbilical Cord pH Immediately After Birth
title_full_unstemmed Relationship Between Oxygen Saturation and Umbilical Cord pH Immediately After Birth
title_short Relationship Between Oxygen Saturation and Umbilical Cord pH Immediately After Birth
title_sort relationship between oxygen saturation and umbilical cord ph immediately after birth
topic delivery room
newborn
oxygen saturation
umbilical cord blood pH
url http://www.sciencedirect.com/science/article/pii/S1875957212001064
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AT umutzubarioglu relationshipbetweenoxygensaturationandumbilicalcordphimmediatelyafterbirth
AT ozgulsalihoglu relationshipbetweenoxygensaturationandumbilicalcordphimmediatelyafterbirth
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