SHORT TERM OUTCOME OF NEONATES BORN WITH ABNORMAL UMBILICAL CORD ARTERIAL BLOOD GASES

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AHMADPOUR KACHO MOUSA; ZAHED PASHA YADOLLAH; HAGSHENAS MOHSEN; AKBARIAN RAD ZAHRA; SADAT NASSERI BAHRAM; BIJANI ALI

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Journal: Iranian Journal of Pediatrics Year:2015 | Volume:25 | Issue:3 Page(s): 1-6

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Title

SHORT TERM OUTCOME OF NEONATES BORN WITH ABNORMAL UMBILICAL CORD ARTERIAL BLOOD GASES

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Keywords

UMBILICAL ARTERIAL BLOOD GAS

PROPIONIC ACIDEMIA

ASSESSMENT

PATIENT OUTCOME

Abstract

Background: UMBILICAL ARTERIAL BLOOD GAS (UABG) analysis is more objective than other methods for predicting neonatal outcome. Acidemic neonates may be at risk for unfavorable outcome after birth, but all neonates with abnormal arterial blood gas (ABG) analysis do not always have poor outcome.Objectives: This study was carried out to determine the short term outcome of the neonates born with an abnormal ABG.Patients and Methods: In a cohort prospective study 120 high risk mother-neonate pairs were enrolled and UABG was taken immediately after birth. All neonates with an umbilical cord PH less than 7.2 were considered as case group and more than 7.2 as controls. Outcomes like need to resuscitation, admission to newborn services and/or NICU), seizure occurrence, hypoxic ischemic encephalopathy (HIE), delayed initiation of oral feeding and length of hospital stay were recorded and compared between the two groups. P value less than 0.05 was considered as being significant.Results: Comparison of short term outcomes between normal and abnormal ABG groups were as the fallowing: need for advanced resuscitation 4 vs.0 (P=0.001), NICU admission 16 vs.4 (P=0.001), convulsion 2 vs.0 (P=0.496), HIE 17 vs.4 (P=0.002), delay to start oral feeding 16 vs.4 (P=0.001), mean hospital stay 4 vs.3 days (P=0.001). None of the neonates died in study groups.Conclusions: An umbilical cord PH less than 7.2 immediately after birth can be used as a prognostic factor for unfavorable short term outcome in newborns.

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APA: Copy

AHMADPOUR KACHO, MOUSA, ZAHED PASHA, YADOLLAH, HAGSHENAS, MOHSEN, AKBARIAN RAD, ZAHRA, SADAT NASSERI, BAHRAM, & BIJANI, ALI. (2015). SHORT TERM OUTCOME OF NEONATES BORN WITH ABNORMAL UMBILICAL CORD ARTERIAL BLOOD GASES. IRANIAN JOURNAL OF PEDIATRICS, 25(3), 1-6. SID. https://sid.ir/paper/677685/en

Vancouver: Copy

AHMADPOUR KACHO MOUSA, ZAHED PASHA YADOLLAH, HAGSHENAS MOHSEN, AKBARIAN RAD ZAHRA, SADAT NASSERI BAHRAM, BIJANI ALI. SHORT TERM OUTCOME OF NEONATES BORN WITH ABNORMAL UMBILICAL CORD ARTERIAL BLOOD GASES. IRANIAN JOURNAL OF PEDIATRICS[Internet]. 2015;25(3):1-6. Available from: https://sid.ir/paper/677685/en

IEEE: Copy

MOUSA AHMADPOUR KACHO, YADOLLAH ZAHED PASHA, MOHSEN HAGSHENAS, ZAHRA AKBARIAN RAD, BAHRAM SADAT NASSERI, and ALI BIJANI, “SHORT TERM OUTCOME OF NEONATES BORN WITH ABNORMAL UMBILICAL CORD ARTERIAL BLOOD GASES,” IRANIAN JOURNAL OF PEDIATRICS, vol. 25, no. 3, pp. 1–6, 2015, [Online]. Available: https://sid.ir/paper/677685/en

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