RELATIONSHIP BETWEEN BLOOD CORD ANALYSIS AT DELIVERY TIME AND OUTCOME OF RESUSCITATED NEONATES

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HEIDARZADEH MOHAMMAD; FAYYAZI AFSHIN; ABDOLLAHI FARD SEDIGHEH; GHESHLAG SOFLAEI ZOHREH; SHABANLOEI REZA; AHMADI FAZLALLAH; FAYZOLLAHZADEH HOSSEIN

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Journal: MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES Year:2010 | Volume:32 | Issue:4 Page(s): 27-32

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Title

RELATIONSHIP BETWEEN BLOOD CORD ANALYSIS AT DELIVERY TIME AND OUTCOME OF RESUSCITATED NEONATES

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Keywords

UMBILICAL ARTERY BLOOD GAS ANALYSISQ3

ADVANCED NEONATAL RESUSCITATIONQ3

NEONATAL OUTCOMEQ3

ASPHYXIAQ3

Abstract

Background and Objectives: Despite an improvement in fetal assessment, stationary umbilical cord acid-base reference values are used as measures of obstetric care quality. The aim of the present study was to evaluate the significance of UMBILICAL ARTERY BLOOD GAS ANALYSIS in relation to neonatal morbidity and mortality.Materials and Methods: In this cross sectional study 268 neonates with no major congenital anomaly but needed resuscitation at least with bag and mask had amniotic fluid mecuniome staining, non physiologic route of delivery or 5 minute Apgar score less than 7 were enrolled in this study. Umbilical artery blood sample obtained and analyzed for blood gas immediately after delivery in the tertiary obstetric hospital of Tabriz.Results: There was a significant correlation between gestational age, birth weight, Apgar score (min 1 and 5), need for advanced stage of resuscitation, ASPHYXIA and neurological complications with umbilical artery PH (P<0.05). There was significant correlation between umbilical artery PaCO2 and gestational age, birth weight, Apgar score (min 1), need for progressive resuscitation, ASPHYXIA and neonatal mortality (P<0.05). There was a significant correlation between umbilical artery HCO3 and birth weight, Apgar score (min 1) and ASPHYXIA (P<0.05).There was a significant correlation between gestational age, Apgar score (min 1 and 5) and ASPHYXIA and range of umbilical artery BE (P<0.05).Conclusion: Umbilical artery blood sample analysis gives an objective value for acid-base status, fetal oxygenation and diagnosis of ASPHYXIA but cannot predict duration of hospitalization of neonates.

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APA: Copy

HEIDARZADEH, MOHAMMAD, FAYYAZI, AFSHIN, ABDOLLAHI FARD, SEDIGHEH, GHESHLAG SOFLAEI, ZOHREH, SHABANLOEI, REZA, AHMADI, FAZLALLAH, & FAYZOLLAHZADEH, HOSSEIN. (2010). RELATIONSHIP BETWEEN BLOOD CORD ANALYSIS AT DELIVERY TIME AND OUTCOME OF RESUSCITATED NEONATES. MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES, 32(4), 27-32. SID. https://sid.ir/paper/46805/en

Vancouver: Copy

HEIDARZADEH MOHAMMAD, FAYYAZI AFSHIN, ABDOLLAHI FARD SEDIGHEH, GHESHLAG SOFLAEI ZOHREH, SHABANLOEI REZA, AHMADI FAZLALLAH, FAYZOLLAHZADEH HOSSEIN. RELATIONSHIP BETWEEN BLOOD CORD ANALYSIS AT DELIVERY TIME AND OUTCOME OF RESUSCITATED NEONATES. MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2010;32(4):27-32. Available from: https://sid.ir/paper/46805/en

IEEE: Copy

MOHAMMAD HEIDARZADEH, AFSHIN FAYYAZI, SEDIGHEH ABDOLLAHI FARD, ZOHREH GHESHLAG SOFLAEI, REZA SHABANLOEI, FAZLALLAH AHMADI, and HOSSEIN FAYZOLLAHZADEH, “RELATIONSHIP BETWEEN BLOOD CORD ANALYSIS AT DELIVERY TIME AND OUTCOME OF RESUSCITATED NEONATES,” MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES, vol. 32, no. 4, pp. 27–32, 2010, [Online]. Available: https://sid.ir/paper/46805/en

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