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Predict respiratory distress syndrome by umbilical cord blood gas analysis in newborns with reassuring Apgar score.


ABSTRACT: BACKGROUND:Neonatal acidaemia at birth can increase neonatal morbidity and mortality and it is predictive of neonatal asphyxia. The umbilical blood gas analysis is a valid tool for the evaluation of neonatal acidaemia. However, umbilical cord blood gas analysis is commonly performed in high-risk situations or in the setting of Apgar scores ?7 at 5?min, arterial cord blood gas analysis showing pH??6?mmol/l. The aim was to evaluate the predictive role of blood gas analysis for respiratory distress syndrome in newborns with reassuring Apgar Score. RESULTS:352 full term newborns were enrolled. Umbilical cord blood artery pH showed an association with respiratory distress syndrome (?2(1)?=?10,084, OR (95% CI): 3,9?×?10-?4(2,9?×?10-?6 - 0,048); p?

SUBMITTER: De Bernardo G 

PROVIDER: S-EPMC7017611 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Predict respiratory distress syndrome by umbilical cord blood gas analysis in newborns with reassuring Apgar score.

De Bernardo Giuseppe G   De Santis Rita R   Giordano Maurizio M   Sordino Desiree D   Buonocore Giuseppe G   Perrone Serafina S  

Italian journal of pediatrics 20200212 1


<h4>Background</h4>Neonatal acidaemia at birth can increase neonatal morbidity and mortality and it is predictive of neonatal asphyxia. The umbilical blood gas analysis is a valid tool for the evaluation of neonatal acidaemia. However, umbilical cord blood gas analysis is commonly performed in high-risk situations or in the setting of Apgar scores < 7 at 5 min.<h4>Methods</h4>A retrospective cohort study was conducted from June to December 2018 at the Department of mother's and child's health, P  ...[more]

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