Syed Wajeeha, Liaqat Nazia, Qazi Qudsia, Yasmeen Sumaira
Dr. Wajeeha Syed, FCPS, Assistant Professor, Gynae Unit, Department of Gynae, Medical Teaching Institute, Lady Reading Hospital, Peshawar, KPK, Pakistan.
Dr. Nazia Liaqat, FCPS, Assistant Professor, Gynae Unit, Department of Gynae, Medical Teaching Institute, Lady Reading Hospital, Peshawar, KPK, Pakistan.
Pak J Med Sci. 2020 Nov-Dec;36(7):1529-1532. doi: 10.12669/pjms.36.7.2536.
To determine relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome.
This descriptive cross-sectional study was conducted in the department of Gynaecology, Lady Reading Hospital Peshawar, Pakistan, from January 2019 to July 2019. This study included 27 full-term pregnant women who had abnormal CTG during the active or latent phase of labour. Data were analyzed by IBM SPSS Statistics for Windows, Version 23.0.
Out of 27, most patients 13 (48.14%) were in the age group 20-25 years,11 (40.74%) to 26-30 years and 3 (11.11%) belonged to 31-35 years of age group. CTG abnormalities were severe bradycardia, late deccelerations and persistent variable deccelerations with loss of baseline variability. Of all delivered babies, 21 (77%) babies had birth weight<3.5 kg and 6 (22%) had >3.5 kg birth weight. 20 (74.07%) had acidosis (pH <7.2) at the time of birth, of which one had severe hypoxemia and acidosis with pH 6.85. APGAR score at 0 minutes showed a strong positive correlation (r=0.818, p= <0.001) with cord pH, while APGAR at five minutes was also strongly correlated (r= 773, p=<0.001). Of all babies 18(66.66%) with PH less than 7.2 were admitted in NICU while only 2 babies with PH more than 7.2 were admitted. (p value= 0.005).
Low umbilical cord pH values of babies born by cesarean section (for fetal distress) are strongly correlated with low APGAR score at birth and higher rates of NICU admission.
确定产后即刻脐带血pH值、胎儿窘迫与新生儿结局之间的关系。
本描述性横断面研究于2019年1月至2019年7月在巴基斯坦白沙瓦市莱迪·雷丁医院妇产科进行。本研究纳入了27名在产程活跃期或潜伏期出现CTG异常的足月孕妇。数据采用IBM SPSS Statistics for Windows 23.0版本进行分析。
27名患者中，大多数患者13名（48.14%）年龄在20 - 25岁之间，11名（40.74%）年龄在26 - 30岁之间，3名（11.11%）年龄在31 - 35岁之间。CTG异常包括严重心动过缓、晚期减速和持续性可变减速伴基线变异消失。在所有分娩的婴儿中，21名（77%）婴儿出生体重<3.5 kg，6名（22%）婴儿出生体重>3.5 kg。20名（74.07%）婴儿出生时存在酸中毒（pH <7.2），其中1名婴儿伴有严重低氧血症和酸中毒，pH值为6.85。出生后0分钟时的阿氏评分与脐带血pH值呈强正相关（r = 0.818，p = <0.001），出生后5分钟时的阿氏评分也呈强相关（r = 0.773，p = <0.001）。所有婴儿中，pH值小于7.2的18名（66.66%）婴儿入住新生儿重症监护病房（NICU），而pH值大于7.2的只有2名婴儿入住（p值 = 0.005）。
剖宫产（因胎儿窘迫）出生的婴儿脐带血pH值低与出生时低阿氏评分及较高的NICU入住率密切相关。
