Influence of maternal hyperventilation on the newborn infant

Moderate controlled hyperventilation during cesarean section can cause the fetus to have slightly less acidosis at birth. However, if maternal PCO2 is lowered below 17 mm. Hg, the infant is likely to have severe acidosis and delayed onset of respiration. Although hyperventilation was not always acco...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:American journal of obstetrics and gynecology 1965-01, Vol.91 (1), p.76-84
Hauptverfasser: Moya, Frank, Morishima, Hisayo O., Shnider, Sol M., James, L.Stanley
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 84
container_issue 1
container_start_page 76
container_title American journal of obstetrics and gynecology
container_volume 91
creator Moya, Frank
Morishima, Hisayo O.
Shnider, Sol M.
James, L.Stanley
description Moderate controlled hyperventilation during cesarean section can cause the fetus to have slightly less acidosis at birth. However, if maternal PCO2 is lowered below 17 mm. Hg, the infant is likely to have severe acidosis and delayed onset of respiration. Although hyperventilation was not always accompanied by maternal alkalosis in this study, 1 of the two mothers with the most alkalosis belonged to the group in which the anesthesiologist was attempting to maintain a normal level of ventilation. There is danger not for the conscious patient hyperventilating voluntarily, but for the unconscious patient who undergoes artificial ventilation after receiving muscle relaxants. Considerable caution should be exercised, therefore, in the ventilation of pregnant women who undergo cesarean section when muscle relaxants are being used; willful overventilation should be avoided.
doi_str_mv 10.1016/0002-9378(65)90589-2
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_83988488</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>0002937865905892</els_id><sourcerecordid>83988488</sourcerecordid><originalsourceid>FETCH-LOGICAL-c358t-dabd7f271b9d865227c942ae5450d6bfa9581e62eb7eb7d336c219ac79aabc543</originalsourceid><addsrcrecordid>eNp9kFtLwzAUgIMobk7_gUifRB-qSdqkCYggw8tg4Is-hzQ9ZZE2nUk62b-3dUPfhAOHA9-5fQidE3xDMOG3GGOayqwQV5xdS8yETOkBmhIsi5QLLg7R9BeZoJMQPsaSSnqMJiSnOcMyn6K7haubHpyBpKuTVkfwTjfJarsGvwEXbaOj7VwyRFxB4uCr7LxLrKu1i6foqNZNgLN9nqH3p8e3-Uu6fH1ezB-WqcmYiGmly6qoaUFKWQnOKC2MzKkGNtxQ8bLWkgkCnEJZDFFlGTeUSG0KqXVpWJ7N0OVu7tp3nz2EqFobDDSNdtD1QYlMCpELMYD5DjS-C8FDrdbettpvFcFqtKZGB2pUojhTP9YUHdou9vP7soXqr2mvaQDudwAMX24seBWMHaVV1oOJqurs_xu-AWROfEA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>83988488</pqid></control><display><type>article</type><title>Influence of maternal hyperventilation on the newborn infant</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Moya, Frank ; Morishima, Hisayo O. ; Shnider, Sol M. ; James, L.Stanley</creator><creatorcontrib>Moya, Frank ; Morishima, Hisayo O. ; Shnider, Sol M. ; James, L.Stanley</creatorcontrib><description>Moderate controlled hyperventilation during cesarean section can cause the fetus to have slightly less acidosis at birth. However, if maternal PCO2 is lowered below 17 mm. Hg, the infant is likely to have severe acidosis and delayed onset of respiration. Although hyperventilation was not always accompanied by maternal alkalosis in this study, 1 of the two mothers with the most alkalosis belonged to the group in which the anesthesiologist was attempting to maintain a normal level of ventilation. There is danger not for the conscious patient hyperventilating voluntarily, but for the unconscious patient who undergoes artificial ventilation after receiving muscle relaxants. Considerable caution should be exercised, therefore, in the ventilation of pregnant women who undergo cesarean section when muscle relaxants are being used; willful overventilation should be avoided.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/0002-9378(65)90589-2</identifier><identifier>PMID: 14245094</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acid-Base Equilibrium ; Acidosis ; Alkalosis ; Anesthesia - adverse effects ; Anesthesia, Obstetrical ; Blood ; Blood Gas Analysis ; Cesarean Section ; Female ; Humans ; Hydrogen-Ion Concentration ; Hyperventilation ; Infant, Newborn ; Infant, Newborn, Diseases ; Old Medline ; Pregnancy ; Umbilical Arteries ; Umbilical Cord ; Umbilical Veins</subject><ispartof>American journal of obstetrics and gynecology, 1965-01, Vol.91 (1), p.76-84</ispartof><rights>1965</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-dabd7f271b9d865227c942ae5450d6bfa9581e62eb7eb7d336c219ac79aabc543</citedby><cites>FETCH-LOGICAL-c358t-dabd7f271b9d865227c942ae5450d6bfa9581e62eb7eb7d336c219ac79aabc543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9378(65)90589-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14245094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moya, Frank</creatorcontrib><creatorcontrib>Morishima, Hisayo O.</creatorcontrib><creatorcontrib>Shnider, Sol M.</creatorcontrib><creatorcontrib>James, L.Stanley</creatorcontrib><title>Influence of maternal hyperventilation on the newborn infant</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Moderate controlled hyperventilation during cesarean section can cause the fetus to have slightly less acidosis at birth. However, if maternal PCO2 is lowered below 17 mm. Hg, the infant is likely to have severe acidosis and delayed onset of respiration. Although hyperventilation was not always accompanied by maternal alkalosis in this study, 1 of the two mothers with the most alkalosis belonged to the group in which the anesthesiologist was attempting to maintain a normal level of ventilation. There is danger not for the conscious patient hyperventilating voluntarily, but for the unconscious patient who undergoes artificial ventilation after receiving muscle relaxants. Considerable caution should be exercised, therefore, in the ventilation of pregnant women who undergo cesarean section when muscle relaxants are being used; willful overventilation should be avoided.</description><subject>Acid-Base Equilibrium</subject><subject>Acidosis</subject><subject>Alkalosis</subject><subject>Anesthesia - adverse effects</subject><subject>Anesthesia, Obstetrical</subject><subject>Blood</subject><subject>Blood Gas Analysis</subject><subject>Cesarean Section</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrogen-Ion Concentration</subject><subject>Hyperventilation</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases</subject><subject>Old Medline</subject><subject>Pregnancy</subject><subject>Umbilical Arteries</subject><subject>Umbilical Cord</subject><subject>Umbilical Veins</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1965</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kFtLwzAUgIMobk7_gUifRB-qSdqkCYggw8tg4Is-hzQ9ZZE2nUk62b-3dUPfhAOHA9-5fQidE3xDMOG3GGOayqwQV5xdS8yETOkBmhIsi5QLLg7R9BeZoJMQPsaSSnqMJiSnOcMyn6K7haubHpyBpKuTVkfwTjfJarsGvwEXbaOj7VwyRFxB4uCr7LxLrKu1i6foqNZNgLN9nqH3p8e3-Uu6fH1ezB-WqcmYiGmly6qoaUFKWQnOKC2MzKkGNtxQ8bLWkgkCnEJZDFFlGTeUSG0KqXVpWJ7N0OVu7tp3nz2EqFobDDSNdtD1QYlMCpELMYD5DjS-C8FDrdbettpvFcFqtKZGB2pUojhTP9YUHdou9vP7soXqr2mvaQDudwAMX24seBWMHaVV1oOJqurs_xu-AWROfEA</recordid><startdate>19650101</startdate><enddate>19650101</enddate><creator>Moya, Frank</creator><creator>Morishima, Hisayo O.</creator><creator>Shnider, Sol M.</creator><creator>James, L.Stanley</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19650101</creationdate><title>Influence of maternal hyperventilation on the newborn infant</title><author>Moya, Frank ; Morishima, Hisayo O. ; Shnider, Sol M. ; James, L.Stanley</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-dabd7f271b9d865227c942ae5450d6bfa9581e62eb7eb7d336c219ac79aabc543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1965</creationdate><topic>Acid-Base Equilibrium</topic><topic>Acidosis</topic><topic>Alkalosis</topic><topic>Anesthesia - adverse effects</topic><topic>Anesthesia, Obstetrical</topic><topic>Blood</topic><topic>Blood Gas Analysis</topic><topic>Cesarean Section</topic><topic>Female</topic><topic>Humans</topic><topic>Hydrogen-Ion Concentration</topic><topic>Hyperventilation</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases</topic><topic>Old Medline</topic><topic>Pregnancy</topic><topic>Umbilical Arteries</topic><topic>Umbilical Cord</topic><topic>Umbilical Veins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moya, Frank</creatorcontrib><creatorcontrib>Morishima, Hisayo O.</creatorcontrib><creatorcontrib>Shnider, Sol M.</creatorcontrib><creatorcontrib>James, L.Stanley</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moya, Frank</au><au>Morishima, Hisayo O.</au><au>Shnider, Sol M.</au><au>James, L.Stanley</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of maternal hyperventilation on the newborn infant</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1965-01-01</date><risdate>1965</risdate><volume>91</volume><issue>1</issue><spage>76</spage><epage>84</epage><pages>76-84</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>Moderate controlled hyperventilation during cesarean section can cause the fetus to have slightly less acidosis at birth. However, if maternal PCO2 is lowered below 17 mm. Hg, the infant is likely to have severe acidosis and delayed onset of respiration. Although hyperventilation was not always accompanied by maternal alkalosis in this study, 1 of the two mothers with the most alkalosis belonged to the group in which the anesthesiologist was attempting to maintain a normal level of ventilation. There is danger not for the conscious patient hyperventilating voluntarily, but for the unconscious patient who undergoes artificial ventilation after receiving muscle relaxants. Considerable caution should be exercised, therefore, in the ventilation of pregnant women who undergo cesarean section when muscle relaxants are being used; willful overventilation should be avoided.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>14245094</pmid><doi>10.1016/0002-9378(65)90589-2</doi><tpages>9</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0002-9378
ispartof American journal of obstetrics and gynecology, 1965-01, Vol.91 (1), p.76-84
issn 0002-9378
1097-6868
language eng
recordid cdi_proquest_miscellaneous_83988488
source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Acid-Base Equilibrium
Acidosis
Alkalosis
Anesthesia - adverse effects
Anesthesia, Obstetrical
Blood
Blood Gas Analysis
Cesarean Section
Female
Humans
Hydrogen-Ion Concentration
Hyperventilation
Infant, Newborn
Infant, Newborn, Diseases
Old Medline
Pregnancy
Umbilical Arteries
Umbilical Cord
Umbilical Veins
title Influence of maternal hyperventilation on the newborn infant
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T05%3A45%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Influence%20of%20maternal%20hyperventilation%20on%20the%20newborn%20infant&rft.jtitle=American%20journal%20of%20obstetrics%20and%20gynecology&rft.au=Moya,%20Frank&rft.date=1965-01-01&rft.volume=91&rft.issue=1&rft.spage=76&rft.epage=84&rft.pages=76-84&rft.issn=0002-9378&rft.eissn=1097-6868&rft_id=info:doi/10.1016/0002-9378(65)90589-2&rft_dat=%3Cproquest_cross%3E83988488%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=83988488&rft_id=info:pmid/14245094&rft_els_id=0002937865905892&rfr_iscdi=true