A comparison of criteria for defining metabolic acidemia in live-born neonates and its effect on predicting serious adverse neonatal outcomes

Metabolic acidemia is a known risk factor for serious adverse neonatal outcomes in both preterm and term infants. This study aimed to evaluate the clinical significance of delivery umbilical cord gas measurements with regard to serious adverse neonatal outcomes, and to determine if distinct threshol...

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Veröffentlicht in:American journal of obstetrics and gynecology 2023-10, Vol.229 (4), p.439.e1-439.e11
Hauptverfasser: Kraus, Alexandria C., Saucedo, Alexander M., Byrne, John J., Chalak, Lina F., Pruszynski, Jessica E., Spong, Catherine Y.
Format: Artikel
Sprache:eng
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Zusammenfassung:Metabolic acidemia is a known risk factor for serious adverse neonatal outcomes in both preterm and term infants. This study aimed to evaluate the clinical significance of delivery umbilical cord gas measurements with regard to serious adverse neonatal outcomes, and to determine if distinct thresholds for defining metabolic acidemia differ in their ability to predict such adverse neonatal complications. This is a retrospective cohort study of singleton live-born deliveries between January 2011 and December 2019. Stratification according to gestational age at birth (≥35 and
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2023.03.031