臀位新生儿的阿氏评分及脐动脉血pH值

Apgar scores and umbilical cord arterial pH in the breech neonate.

作者信息

Socol M L, Cohen L, Depp R, Dooley S L, Tamura R K

机构信息

Department of Obstetrics and Gynecology, Northwestern University Medical School, Prentice Women's Hospital of Northwestern Memorial Hospital, Chicago, Illinois.

出版信息

Int J Gynaecol Obstet. 1988 Aug;27(1):37-43. doi: 10.1016/0020-7292(88)90085-9.

DOI:10.1016/0020-7292(88)90085-9

PMID:2905296

Abstract

Apgar scores and umbilical cord arterial pH measurements of 449 singleton breech deliveries are compared retrospectively to those of 1425 singleton vertex neonates. In the vaginal deliveries the Apgar scores and umbilical arterial pH were higher for the vertex neonates. There were no differences in either Apgar scores or umbilical arterial pH between the breech and vertex neonates delivered by cesarean section. Whereas Apgar scores in the less than 1000 g and greater than or equal to 2500 g weight groups were lower in the breech neonates delivered vaginally compared to cesarean section, umbilical arterial pH measurements were similar. The data suggest that liberal use of cesarean section may improve the Apgar scores but will probably not appreciably improve the acid-base status of the breech neonate.

摘要

对449例单胎臀位分娩的阿氏评分和脐动脉pH值测量结果与1425例单胎头位新生儿的结果进行回顾性比较。在阴道分娩中，头位新生儿的阿氏评分和脐动脉pH值更高。剖宫产分娩的臀位和头位新生儿在阿氏评分或脐动脉pH值方面均无差异。与剖宫产相比，阴道分娩的体重小于1000g和大于或等于2500g体重组的臀位新生儿阿氏评分较低，但脐动脉pH值测量结果相似。数据表明，剖宫产的广泛应用可能会改善阿氏评分，但可能不会明显改善臀位新生儿的酸碱状态。