Association between Acid-Base Balance and Asphyxia in Newborn Infants
We performed a prospective study on the association between acid-base balance and asphyxta based on Apgar scores in 45 newborn babies admitted to the Division of Perinatology, Pirngadi Hospital, Medan, from January 1 to February 28, 1993. Blood gas analysis was done on blood obtained from umbilical...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Indonesian Pediatric Society Publishing House
2018-11-01
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| Series: | Paediatrica Indonesiana |
| Subjects: | |
| Online Access: | https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2015 |
| _version_ | 1828315624591327232 |
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| author | Sari Leyli Harahap Chairul Adillah Harahap Sri Sulastri Chairul Yoel Noersida Raid |
| author_facet | Sari Leyli Harahap Chairul Adillah Harahap Sri Sulastri Chairul Yoel Noersida Raid |
| author_sort | Sari Leyli Harahap |
| collection | DOAJ |
| description | We performed a prospective study on the association between acid-base balance and asphyxta based on Apgar scores in 45 newborn babies admitted to the Division of Perinatology, Pirngadi Hospital, Medan, from January 1 to February 28, 1993. Blood gas analysis was done on blood obtained from umbilical artery. Based on 1st and 5th minutes Apgar scores, 40 (88.9%) and 21 babies (46.7%}, respectively, had asphyxia. Relation to acid-base balance was determined with the sensitivity of the 5th minute Apgar score in predicting acidotic states. It was found that Apgar score had sensitivity of 57.7% and specificity of 68.4% in predicting the acidotic states. Apgar score of > 7 was unable to. exclude the possible acidosis in 45% of cases (negative predictive value 54.1%). Gestational age had no influence on Apgar Scores. Apgar score was more sensitive to eliminate suspected acidosis in term neonates than in preterms. We recommend to perform umbilical arterial blood gas analysis to determine acidotic state in high risk newborn infants. |
| first_indexed | 2024-04-13T17:02:27Z |
| format | Article |
| id | doaj.art-9c0eedd721084ff48100109a2b4999bb |
| institution | Directory Open Access Journal |
| issn | 0030-9311 2338-476X |
| language | English |
| last_indexed | 2024-04-13T17:02:27Z |
| publishDate | 2018-11-01 |
| publisher | Indonesian Pediatric Society Publishing House |
| record_format | Article |
| series | Paediatrica Indonesiana |
| spelling | doaj.art-9c0eedd721084ff48100109a2b4999bb2022-12-22T02:38:35ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2018-11-01341-2384310.14238/pi34.1-2.1994.38-432015Association between Acid-Base Balance and Asphyxia in Newborn InfantsSari Leyli Harahap0Chairul Adillah Harahap1Sri Sulastri2Chairul Yoel3Noersida Raid4Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North SumateraDepartment of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North SumateraDepartment of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North SumateraDepartment of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North SumateraDepartment of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North SumateraWe performed a prospective study on the association between acid-base balance and asphyxta based on Apgar scores in 45 newborn babies admitted to the Division of Perinatology, Pirngadi Hospital, Medan, from January 1 to February 28, 1993. Blood gas analysis was done on blood obtained from umbilical artery. Based on 1st and 5th minutes Apgar scores, 40 (88.9%) and 21 babies (46.7%}, respectively, had asphyxia. Relation to acid-base balance was determined with the sensitivity of the 5th minute Apgar score in predicting acidotic states. It was found that Apgar score had sensitivity of 57.7% and specificity of 68.4% in predicting the acidotic states. Apgar score of > 7 was unable to. exclude the possible acidosis in 45% of cases (negative predictive value 54.1%). Gestational age had no influence on Apgar Scores. Apgar score was more sensitive to eliminate suspected acidosis in term neonates than in preterms. We recommend to perform umbilical arterial blood gas analysis to determine acidotic state in high risk newborn infants.https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2015acid-base balance; asphysia; newborn infants; apgar score |
| spellingShingle | Sari Leyli Harahap Chairul Adillah Harahap Sri Sulastri Chairul Yoel Noersida Raid Association between Acid-Base Balance and Asphyxia in Newborn Infants Paediatrica Indonesiana acid-base balance; asphysia; newborn infants; apgar score |
| title | Association between Acid-Base Balance and Asphyxia in Newborn Infants |
| title_full | Association between Acid-Base Balance and Asphyxia in Newborn Infants |
| title_fullStr | Association between Acid-Base Balance and Asphyxia in Newborn Infants |
| title_full_unstemmed | Association between Acid-Base Balance and Asphyxia in Newborn Infants |
| title_short | Association between Acid-Base Balance and Asphyxia in Newborn Infants |
| title_sort | association between acid base balance and asphyxia in newborn infants |
| topic | acid-base balance; asphysia; newborn infants; apgar score |
| url | https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2015 |
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