The association between cord pH at birth and intellectual function in childhood.

Abstract:

BACKGROUND:Acidemia at birth is very common but little is known about its long-term consequences. AIM:To determine if pH at birth is related to established tests of intellectual function. SUBJECTS:School children aged 6-8, for whom obstetric data were available, who had been delivered after labour at term, and had an umbilical cord arterial pH>7.00 (i.e. that was not extremely acidemic). STUDY DESIGN/OUTCOMES: Retrospective cohort study correlating birth and arterial pH data with childhood tests for non-verbal intelligence, grammar comprehension and literacy. METHODS:Relationships between pH and cognitive measures were analysed with parametric correlations. Partial correlations were used to examine these relationships, controlling for possible confounding factors. RESULTS:Arterial pH was significantly negatively correlated with literacy (p=0.001) and with non-verbal intelligence (p=0.033). CONCLUSIONS:Lower arterial pH is associated with higher scores on literacy and non-verbal intelligence tests at ages 6-8. This is unlikely to be a chance finding and is further evidence that acidemia in isolation should not be considered an adverse outcome. Further research on the relationship between labour and long-term cognitive measures is required.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Svirko E,Mellanby J,Impey L

doi

10.1016/j.earlhumdev.2007.02.002

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

37-41

issue

1

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(07)00042-4

journal_volume

84

pub_type

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