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مقالات فارسیISIکنفرانسهاژورنالها

Correlation of Apgar Score and Umbilical Artery pH in Full-Term Newborns Delivered by Cesarean Section Due to Decreased Fetal Heart Rate

محل انتشار: فصلنامه زنان و مامایی و سرطانهای زنان، دوره: 9، شماره: 2
سال انتشار: 1403
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 28

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استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این مقاله:
https://civilica.com/doc/1940870

شناسه ملی سند علمی:

JR_JOGCR-9-2_004

تاریخ نمایه سازی: 28 اسفند 1402

چکیده مقاله:

Background and Materials: Despite the high efficacy of the Apgar score in finding respiratory distress, a low Apgar score doesn’t necessarily indicate fetal hypoxia-asphyxia. Umbilical Artery pH (UApH) is one of the best indicators of fetal hypoxia. Therefore, it’s so beneficial to consider these criteria and their relationship with the Apgar score for accurate diagnosis of prenatal respiratory distress retrospectively which reduces the unnecessary cesarean section (CS) rate. Methods: ۱۶۲ full-term (≥۲۵۹ days) neonates delivered by CS with the diagnosis of decreased fetal heart rate (FHR) were evaluated. ۱-min and ۵-min Apgar scores and UApH were measured. The correlation between Apgar scores with UApH and the association between UapH and Apgar with the NICU admission were evaluated. The effect of other variables including mother’s age, gravidity, gestational age, birth weight, newborn sex, and causes of decreased FHR on Apgar scores and UApH were studied as well. Results: The most common cause of decreased FHR was fetal distress, boys had higher weight (P=۰.۰۳۳) and lower UApH (P=۰.۰۴۹) than girls. Other parameters were not different significantly between both sexes. There was a positive correlation between UApH and ۱-min and ۵-min Apgar scores (r=۰.۴۶۴ and r=۰.۳۷۰ respectively) when controlled for birth weight (P<۰.۰۰۰۱). The RR for NICU admission in male acidemic neonates with abnormal ۱-min Apgar was ۱۴.۰۵ (CI۹۵%: ۵.۷-۳۴.۶) in comparison to females (RR=۱.۰۶, CI۹۵%: ۱-۱.۲۶). Conclusion: Mild acidemia (UApH<۷.۲) at least in a male fetus would be a good predictor for postnatal complications and need for NICU admission. Future studies with more samples are suggested.

کلیدواژه ها:

Apgar ، Prenatal Care ، fetal hypoxia ، Cesarean Section

نویسندگان

Zahra Panahi

Department of Gynecology and Obstetrics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Fahimeh Ghotbizadeh Vahdani

Department of Gynecology and Obstetrics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Saeede Eslami Khotbesara

Department of Obstetrics and Gynecology, Vali-asr Hospital, Tehran University of Medical Sciences, Tehran, Iran

Razieh Akbari

Department of Gynecology and Obstetrics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Sedigheh Hantoushzadeh

Department of Gynecology and Obstetrics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Soudabeh Kazemi Aski

Department of Obstetrics and Gynecology, Perinatology Reproductive Health Research Center, Al-Zahra Hospital, Guilan University of Medical Sciences, Rasht, Iran

Mamak Shariat

Family Health Institute, Maternal, Fetal, and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran

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