NEONATAL APGAR SCORES AND UMBILICAL BLOOD GAS CHANGES IN VAGINAL DELIVERY AND CESAREAN: A COMPARATIVE STUDY

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RAAFATI SH.; BORNA H.; HAJI EBRAHIM TEHRANI F.; JALALI NODOUSHAN M.R.; MOZAFARI M.H.; ESLAMI M.

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Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2006 | Volume:64 | Issue:4 Page(s): 61-68

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Title

NEONATAL APGAR SCORES AND UMBILICAL BLOOD GAS CHANGES IN VAGINAL DELIVERY AND CESAREAN: A COMPARATIVE STUDY

Author(s)

Keywords

UMBILICAL CORD BLOOD GASQ2

VAGINAL DELIVERYQ3

CESAREAN SECTIONQ3

GENERAL ANESTHESIAQ2

SPINAL ANESTHESIAQ3

APGARQ3

Abstract

Background: UMBILICAL CORD BLOOD GAS analysis is a useful method for assessment of oxygenation and acid-base status in neonates. Severe fetal acidemia is associated with increased perinatal mortality and increased risk of subsequent impaired neurological development. Due to high percentage of C/S in our country and the effect of anesthetic medications on umbilical blood gases which can cause neonatal acidosis and hypoxemia, the study of UMBILICAL CORD BLOOD GAS in VAGINAL DELIVERY versus CESAREAN SECTION is mandatory.Methods: In this cross-sectional study one hundred samples were taken from Mostafa Khomeini hospital in summer 2004. The samples were taken immediately of umbilical vein after clamping the umbilical cord and analyzed after 10 minutes. Cases were classified in to 3 groups: VAGINAL DELIVERY (n=40), elective C/S under GENERAL ANESTHESIA (n=35) and C/S under SPINAL ANESTHESIA (n=25).Duration of anesthesia and its effect on blood gas and infants APGAR were assessed.Results: In the first group (vaginal delivery) mean blood gase parameters were; pH=7.306±4.73, PO2=25.24±6.87, HCO3=20.56±2.03, APGAR=8.82±0.38 and pCO2=41.82±6.57. In the second group (general anesthesia) mean blood gaze parameters were: pH=7.304±4.73, PO2=38.70±4.02, PcO2=43.26±5.87, HCO3=21.111±3 and APGAR score=8.17±0.7. In the third group (spinal anesthesia) mean blood gaze parameters were: pH=7.301±4.50, pCO2=44.1±4.99, HCO3=21.38±2.15, PO2=26.62±5.5 and APGAR=8.60±0.62. The APGAR scores and pO2 demonstrated significant relationship with type of anesthesia. The APGAR score was lower and pO2 was higher in C/S under GENERAL ANESTHESIA compared with the other two groups. There was significant relationship between duration of anesthesia and umbilical pO. With increasing duration of anesthesia, PO2 was reduced. Between the type of delivery and anesthesia duration with PH, PO2 PCO2 and HCO3 were not meaningful relationship (P<0.05).Conclusion: Then: was no significant difference between type of delivery and umbilical blood gas parameters. Neonatal APGAR score in NVD is higher than the other groups. With increasing duration of GENERAL ANESTHESIA in C/S, mbilical Po2 is reduced.

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APA: Copy

RAAFATI, SH., BORNA, H., HAJI EBRAHIM TEHRANI, F., JALALI NODOUSHAN, M.R., MOZAFARI, M.H., & ESLAMI, M.. (2006). NEONATAL APGAR SCORES AND UMBILICAL BLOOD GAS CHANGES IN VAGINAL DELIVERY AND CESAREAN: A COMPARATIVE STUDY. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 64(4), 61-68. SID. https://sid.ir/paper/38948/en

Vancouver: Copy

RAAFATI SH., BORNA H., HAJI EBRAHIM TEHRANI F., JALALI NODOUSHAN M.R., MOZAFARI M.H., ESLAMI M.. NEONATAL APGAR SCORES AND UMBILICAL BLOOD GAS CHANGES IN VAGINAL DELIVERY AND CESAREAN: A COMPARATIVE STUDY. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2006;64(4):61-68. Available from: https://sid.ir/paper/38948/en

IEEE: Copy

SH. RAAFATI, H. BORNA, F. HAJI EBRAHIM TEHRANI, M.R. JALALI NODOUSHAN, M.H. MOZAFARI, and M. ESLAMI, “NEONATAL APGAR SCORES AND UMBILICAL BLOOD GAS CHANGES IN VAGINAL DELIVERY AND CESAREAN: A COMPARATIVE STUDY,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 64, no. 4, pp. 61–68, 2006, [Online]. Available: https://sid.ir/paper/38948/en

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