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Acidemia at birth in the vigorous infant as a trigger incident to assess intrapartum care with regard to CTG patterns
Region Örebro län.
Örebro universitet, Institutionen för hälsovetenskap och medicin.
2013 (Engelska)Ingår i: The Journal of Maternal-Fetal & Neonatal Medicine, ISSN 1476-7058, E-ISSN 1476-4954, Vol. 26, nr 11, s. 1094-1098Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Abstract Objective To evaluate if acidemia in vigorous infants is useful in the assessment of intrapartum care with regard to cardiotocographic (CTG) patterns during the second stage. Methods Cases (n=241) were infants with an umbilical artery pH < 7.05, controls (n= 482) were infants with pH ≥ 7.05. Apgar score was ≥ 7 at five minutes in both groups. CTGs during the last two hours of labour were assessed and neonatal outcomes compared. A sub analysis of cases with metabolic acidemia: pH < 7.00 and base deficit ≥ 12mmol/L and, acidemia: 7.00 < pH < 7.05 was performed. Results 63% of cases had a pathological CTG versus 26% of controls (p <0.001). Patterns with severe variable decelerations had a significantly longer duration in cases. Metabolic acidemia was significantly associated with severe variable decelerations and, decreased variability. Infants to cases were admitted to neonatal care in 19 % versus 2 % of controls (p <0.001). With metabolic acidemia, 32 % were admitted. Conclusion An umbilical artery pH < 7.05 at birth of vigorous infants may be a useful variable for quality control of intrapartum management with regard to assessment of second stage CTGs. Differences in duration of pathological patterns indicate passiveness in acidemic cases.

Ort, förlag, år, upplaga, sidor
2013. Vol. 26, nr 11, s. 1094-1098
Nationell ämneskategori
Kirurgi
Forskningsämne
Obstetrik och gynekologi
Identifikatorer
URN: urn:nbn:se:oru:diva-27154DOI: 10.3109/14767058.2013.770457ISI: 000320816800009PubMedID: 23350711OAI: oai:DiVA.org:oru-27154DiVA, id: diva2:601907
Tillgänglig från: 2013-01-30 Skapad: 2013-01-30 Senast uppdaterad: 2017-12-06Bibliografiskt granskad

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Hanson, Ulf

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Östlund, IngridHanson, Ulf
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