Fetal blood gas analysis at delivery.

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Fetal blood gas analysis at delivery.

Correspondence Fetal blood gas analysis at delivery Sir, In a recent article D'Souza et al.1 note that it is simpler and more convenient to obtain umbilical venous than arterial blood to assess the acid base status of a newborn infant at delivery. They add, however, that sampling arterial blood would be preferable to venous blood as the former reflects more closely the metabolic condition of th...

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Umbilical cord blood gas analysis at the time of delivery.

AIMS it is now recommended that cord blood acid-base measurement is performed routinely at time of delivery in the UK as a measure of fetal response to labour. However, there remains some uncertainty about the value of this procedure. In this paper our experience of cord blood analysis is described and the literature is reviewed to: (1) provide an overview of the physiological basis of cord blo...

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Accuracy of intrapartum fetal blood gas analysis by scalp sampling

Fetal blood gas analysis (FBGA) using scalp blood is commonly used to identify serious fetal distress. However, there is a lack of data regarding its accuracy and reliability. The aim of this study was to determine the positive predictive value (PPV) and negative predictive value (NPV) of FBGA for predicting postpartum acidosis in case of nonreassuring fetal heart rate tracings (NRFHRT). To thi...

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The impact of introducing universal umbilical cord blood gas analysis and lactate measurement at delivery.

BACKGROUND There is growing support for umbilical cord blood gas analysis (UCBGA) to be conducted at delivery. A recent study in a tertiary level obstetric unit found that universal UCBGA was associated with improved perinatal outcomes, but there is less evidence of benefit in lower-risk environments. In such settings, lactate analysis may be a suitable alternative. AIMS This study evaluated ...

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Umbilical cord blood gas analysis at delivery: a time for quality data.

OBJECTIVES To address the practical problems of routine umbilical cord blood sampling, to determine the ranges for pH, PCO2 and base deficit and to examine the relationships of these parameters between cord vessels. DESIGN An observational study of umbilical cord artery and vein blood gas results. SETTING A large district general hospital in the UK. SUBJECTS One thousand nine hundred and ...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 1983

ISSN: 0003-9888,1468-2044

DOI: 10.1136/adc.58.8.662