The Correlation of Cord Arterial Blood Gas Analysis Results and Apgar Scores in Term Infants Without Fetal Distress
Objective: This study aimed to evaluate the necessity of cord arterial blood gas analysis in cases without fetal distress and normal Apgar score. Materials and Methods: The cord arterial blood gas analysis and the 1- and 5-minute Apgar scores data of 1438 cases were evaluated. Newborns with fetal di...
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| Veröffentlicht in: | Turkish Archives of Pediatrics 2022-09, Vol.57 (5), p.538-543 |
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| creator | Yilmaz, Aslan Kaya, Nesrin Ulkersoy, Ipek Taner, Hasan Emir Acar, Hazal Cansu Kaymak, Didem Perk, Yildiz Vural, Mehmet |
| description | Objective: This study aimed to evaluate the necessity of cord arterial blood gas analysis in cases without fetal distress and normal Apgar score. Materials and Methods: The cord arterial blood gas analysis and the 1- and 5-minute Apgar scores data of 1438 cases were evaluated. Newborns with fetal distress, neonates requiring cardiopulmonary resuscitation in the delivery room, congenital anomalies, severe and moderate acidemia (pH [greater than or equal to]7.1 at cord arterial blood gas analysis), and pre- and post-term newborns are excluded. Following cord arterial blood gas analysis, threshold values were accepted as abnormal pH 5 mmol/L, bicarbonate < 18 mmol/L, and partial pressure of carbon dioxide [less than or equal to] 50 mmHg. We evaluated the correlation between cord arterial blood gas analysis and 1- and 5-minute Apgar scores. Results: There was a significant correlation between both 1- and 5-minute Apgar scores and cord arterial blood gas analysis values such as pH, lactate, and partial pressure of carbon dioxide (P < .001). In addition, a significant correlation was found between the 5-minute Apgar score of |
| doi_str_mv | 10.5152/TurkArchPediatr.2022.22079 |
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| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9524445</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A719647737</galeid><sourcerecordid>A719647737</sourcerecordid><originalsourceid>FETCH-LOGICAL-c498t-1e28b4731f6721367765a13f24b92051e1fcec3cbd18526db54c3e48a1850fc03</originalsourceid><addsrcrecordid>eNpdkk1v1DAQhiMEolXpf7DgwmW3_owTDkhhoaVSJRAs4mg5znjXJbG3toPUf4_TrRBUc_CM55nX1uitqtcErwUR9GI7x19dNPuvMDid45piSteUYtk-q06pFHJVU1E__yc_qc5TusUYU9kyXsuX1QkTrcCSs9MqbfeANiFGGHV2waNgl3JAXcwQnR7RhzGEAV3phDqvx_vkEvoGaR5zQtoX7rDTEX03IUJCzqMtxAlde6t9AX66vA9zRpeQi9JHl3Kh0qvqhdVjgvPH86z6cflpu_m8uvlydb3pblaGt01eEaBNzyUjtpaUsFrKWmjCLOV9S7EgQKwBw0w_kEbQeugFNwx4o0uJrcHsrHp_1D3M_QSDAZ-jHtUhuknHexW0U_93vNurXfitWkE556IIvH0UiOFuhpTV5JKBcdQewpwUlZgQ1jQtKeibJ-htmGNZ2EIRybFgrSzU-kjt9AjKeRvKu6bEAJMzwYN15b6TpK25lGwZeHccMDGkFMH-_T3BavGDeuIHtfhBPfiB_QG8wawA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2717405397</pqid></control><display><type>article</type><title>The Correlation of Cord Arterial Blood Gas Analysis Results and Apgar Scores in Term Infants Without Fetal Distress</title><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central</source><creator>Yilmaz, Aslan ; Kaya, Nesrin ; Ulkersoy, Ipek ; Taner, Hasan Emir ; Acar, Hazal Cansu ; Kaymak, Didem ; Perk, Yildiz ; Vural, Mehmet</creator><creatorcontrib>Yilmaz, Aslan ; Kaya, Nesrin ; Ulkersoy, Ipek ; Taner, Hasan Emir ; Acar, Hazal Cansu ; Kaymak, Didem ; Perk, Yildiz ; Vural, Mehmet ; Department of Public Health, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey ; Department of Obstetric and Gynecology, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey ; Department of Neonatology, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey ; Department of Pediatrics, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</creatorcontrib><description>Objective: This study aimed to evaluate the necessity of cord arterial blood gas analysis in cases without fetal distress and normal Apgar score. Materials and Methods: The cord arterial blood gas analysis and the 1- and 5-minute Apgar scores data of 1438 cases were evaluated. Newborns with fetal distress, neonates requiring cardiopulmonary resuscitation in the delivery room, congenital anomalies, severe and moderate acidemia (pH [greater than or equal to]7.1 at cord arterial blood gas analysis), and pre- and post-term newborns are excluded. Following cord arterial blood gas analysis, threshold values were accepted as abnormal pH <7.2, base excess [greater than or equal to] -6 mmol/L, lactate > 5 mmol/L, bicarbonate < 18 mmol/L, and partial pressure of carbon dioxide [less than or equal to] 50 mmHg. We evaluated the correlation between cord arterial blood gas analysis and 1- and 5-minute Apgar scores. Results: There was a significant correlation between both 1- and 5-minute Apgar scores and cord arterial blood gas analysis values such as pH, lactate, and partial pressure of carbon dioxide (P < .001). In addition, a significant correlation was found between the 5-minute Apgar score of <7 and some cord arterial blood gas analysis abnormal threshold values (pH, bicarbonate, base excess) (P < .001). We found that some patients with mild acidemia had 1- and 5-minute Apgar scores of [greater than or equal to]7 in 1.9% and 2% of cases, respectively. Conclusion: The 5-minute Apgar score of 7 or higher may not be sufficient to verify the well-being of a newborn. Relying only on the Apgar scores may create the risk of missing some newborns with mild metabolic acidosis. The necessity of routine cord arterial blood gas analysis should be considered in prospective studies even if there are no signs of fetal distress and Apgar score [greater than or equal to]7. Keywords: Apgar score, cord arterial blood gas, newborn, term infant</description><identifier>ISSN: 2757-6256</identifier><identifier>EISSN: 2757-6256</identifier><identifier>DOI: 10.5152/TurkArchPediatr.2022.22079</identifier><identifier>PMID: 35950743</identifier><language>eng</language><publisher>Istanbul: AVES</publisher><subject>Analysis ; Apgar score ; Blood gas analysis ; Blood gases ; Drug overdose ; Health aspects ; Infants (Newborn) ; Medical examination ; Original ; Pediatric research</subject><ispartof>Turkish Archives of Pediatrics, 2022-09, Vol.57 (5), p.538-543</ispartof><rights>COPYRIGHT 2022 AVES</rights><rights>2022. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright 2022 by The Turkish Archives of Pediatrics 2022 The Turkish Archives of Pediatrics</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-1e28b4731f6721367765a13f24b92051e1fcec3cbd18526db54c3e48a1850fc03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9524445/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9524445/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Yilmaz, Aslan</creatorcontrib><creatorcontrib>Kaya, Nesrin</creatorcontrib><creatorcontrib>Ulkersoy, Ipek</creatorcontrib><creatorcontrib>Taner, Hasan Emir</creatorcontrib><creatorcontrib>Acar, Hazal Cansu</creatorcontrib><creatorcontrib>Kaymak, Didem</creatorcontrib><creatorcontrib>Perk, Yildiz</creatorcontrib><creatorcontrib>Vural, Mehmet</creatorcontrib><creatorcontrib>Department of Public Health, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Obstetric and Gynecology, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Neonatology, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Pediatrics, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</creatorcontrib><title>The Correlation of Cord Arterial Blood Gas Analysis Results and Apgar Scores in Term Infants Without Fetal Distress</title><title>Turkish Archives of Pediatrics</title><description>Objective: This study aimed to evaluate the necessity of cord arterial blood gas analysis in cases without fetal distress and normal Apgar score. Materials and Methods: The cord arterial blood gas analysis and the 1- and 5-minute Apgar scores data of 1438 cases were evaluated. Newborns with fetal distress, neonates requiring cardiopulmonary resuscitation in the delivery room, congenital anomalies, severe and moderate acidemia (pH [greater than or equal to]7.1 at cord arterial blood gas analysis), and pre- and post-term newborns are excluded. Following cord arterial blood gas analysis, threshold values were accepted as abnormal pH <7.2, base excess [greater than or equal to] -6 mmol/L, lactate > 5 mmol/L, bicarbonate < 18 mmol/L, and partial pressure of carbon dioxide [less than or equal to] 50 mmHg. We evaluated the correlation between cord arterial blood gas analysis and 1- and 5-minute Apgar scores. Results: There was a significant correlation between both 1- and 5-minute Apgar scores and cord arterial blood gas analysis values such as pH, lactate, and partial pressure of carbon dioxide (P < .001). In addition, a significant correlation was found between the 5-minute Apgar score of <7 and some cord arterial blood gas analysis abnormal threshold values (pH, bicarbonate, base excess) (P < .001). We found that some patients with mild acidemia had 1- and 5-minute Apgar scores of [greater than or equal to]7 in 1.9% and 2% of cases, respectively. Conclusion: The 5-minute Apgar score of 7 or higher may not be sufficient to verify the well-being of a newborn. Relying only on the Apgar scores may create the risk of missing some newborns with mild metabolic acidosis. The necessity of routine cord arterial blood gas analysis should be considered in prospective studies even if there are no signs of fetal distress and Apgar score [greater than or equal to]7. Keywords: Apgar score, cord arterial blood gas, newborn, term infant</description><subject>Analysis</subject><subject>Apgar score</subject><subject>Blood gas analysis</subject><subject>Blood gases</subject><subject>Drug overdose</subject><subject>Health aspects</subject><subject>Infants (Newborn)</subject><subject>Medical examination</subject><subject>Original</subject><subject>Pediatric research</subject><issn>2757-6256</issn><issn>2757-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkk1v1DAQhiMEolXpf7DgwmW3_owTDkhhoaVSJRAs4mg5znjXJbG3toPUf4_TrRBUc_CM55nX1uitqtcErwUR9GI7x19dNPuvMDid45piSteUYtk-q06pFHJVU1E__yc_qc5TusUYU9kyXsuX1QkTrcCSs9MqbfeANiFGGHV2waNgl3JAXcwQnR7RhzGEAV3phDqvx_vkEvoGaR5zQtoX7rDTEX03IUJCzqMtxAlde6t9AX66vA9zRpeQi9JHl3Kh0qvqhdVjgvPH86z6cflpu_m8uvlydb3pblaGt01eEaBNzyUjtpaUsFrKWmjCLOV9S7EgQKwBw0w_kEbQeugFNwx4o0uJrcHsrHp_1D3M_QSDAZ-jHtUhuknHexW0U_93vNurXfitWkE556IIvH0UiOFuhpTV5JKBcdQewpwUlZgQ1jQtKeibJ-htmGNZ2EIRybFgrSzU-kjt9AjKeRvKu6bEAJMzwYN15b6TpK25lGwZeHccMDGkFMH-_T3BavGDeuIHtfhBPfiB_QG8wawA</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Yilmaz, Aslan</creator><creator>Kaya, Nesrin</creator><creator>Ulkersoy, Ipek</creator><creator>Taner, Hasan Emir</creator><creator>Acar, Hazal Cansu</creator><creator>Kaymak, Didem</creator><creator>Perk, Yildiz</creator><creator>Vural, Mehmet</creator><general>AVES</general><general>Aves Yayincilik Ltd. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Turkish Archives of Pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yilmaz, Aslan</au><au>Kaya, Nesrin</au><au>Ulkersoy, Ipek</au><au>Taner, Hasan Emir</au><au>Acar, Hazal Cansu</au><au>Kaymak, Didem</au><au>Perk, Yildiz</au><au>Vural, Mehmet</au><aucorp>Department of Public Health, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</aucorp><aucorp>Department of Obstetric and Gynecology, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</aucorp><aucorp>Department of Neonatology, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</aucorp><aucorp>Department of Pediatrics, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Correlation of Cord Arterial Blood Gas Analysis Results and Apgar Scores in Term Infants Without Fetal Distress</atitle><jtitle>Turkish Archives of Pediatrics</jtitle><date>2022-09-01</date><risdate>2022</risdate><volume>57</volume><issue>5</issue><spage>538</spage><epage>543</epage><pages>538-543</pages><issn>2757-6256</issn><eissn>2757-6256</eissn><abstract>Objective: This study aimed to evaluate the necessity of cord arterial blood gas analysis in cases without fetal distress and normal Apgar score. Materials and Methods: The cord arterial blood gas analysis and the 1- and 5-minute Apgar scores data of 1438 cases were evaluated. Newborns with fetal distress, neonates requiring cardiopulmonary resuscitation in the delivery room, congenital anomalies, severe and moderate acidemia (pH [greater than or equal to]7.1 at cord arterial blood gas analysis), and pre- and post-term newborns are excluded. Following cord arterial blood gas analysis, threshold values were accepted as abnormal pH <7.2, base excess [greater than or equal to] -6 mmol/L, lactate > 5 mmol/L, bicarbonate < 18 mmol/L, and partial pressure of carbon dioxide [less than or equal to] 50 mmHg. We evaluated the correlation between cord arterial blood gas analysis and 1- and 5-minute Apgar scores. Results: There was a significant correlation between both 1- and 5-minute Apgar scores and cord arterial blood gas analysis values such as pH, lactate, and partial pressure of carbon dioxide (P < .001). In addition, a significant correlation was found between the 5-minute Apgar score of <7 and some cord arterial blood gas analysis abnormal threshold values (pH, bicarbonate, base excess) (P < .001). We found that some patients with mild acidemia had 1- and 5-minute Apgar scores of [greater than or equal to]7 in 1.9% and 2% of cases, respectively. Conclusion: The 5-minute Apgar score of 7 or higher may not be sufficient to verify the well-being of a newborn. Relying only on the Apgar scores may create the risk of missing some newborns with mild metabolic acidosis. The necessity of routine cord arterial blood gas analysis should be considered in prospective studies even if there are no signs of fetal distress and Apgar score [greater than or equal to]7. Keywords: Apgar score, cord arterial blood gas, newborn, term infant</abstract><cop>Istanbul</cop><pub>AVES</pub><pmid>35950743</pmid><doi>10.5152/TurkArchPediatr.2022.22079</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Analysis Apgar score Blood gas analysis Blood gases Drug overdose Health aspects Infants (Newborn) Medical examination Original Pediatric research |
| title | The Correlation of Cord Arterial Blood Gas Analysis Results and Apgar Scores in Term Infants Without Fetal Distress |
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