Newborn complications after intrapartum asphyxia with metabolic acidosis in the term fetus.

Abstract:

OBJECTIVES:Our purpose was to determine the newborn complications after respiratory or metabolic acidosis at delivery and to demonstrate the characteristics of an asphyxial insult predictive of these complications. STUDY DESIGN:Fifty-nine term fetuses with metabolic acidosis were matched with 59 fetuses with normal blood gas measures at delivery. Fifty-one fetuses with respiratory acidosis were also examined. A complication score expressed the magnitude of newborn complications during the 10 days after delivery. RESULTS:Newborn complications were not increased after respiratory acidosis. Newborn complications after metabolic acidosis increase in frequency and severity with the increasing severity and duration of the metabolic acidosis. Thirty-two of the 59 newborns in the metabolic acidosis group had a high complication score. The index values predictive of high scores were the duration of the metabolic acidosis and the Apgar score at 1 minute. CONCLUSIONS:Intrapartum fetal asphyxia with a severe metabolic acidosis accounts for complications in all newborn systems. The probability of a high complication score increases from 14% with favorable index values to 85% with unfavorable index values.

journal_name

Am J Obstet Gynecol

authors

Low JA,Panagiotopoulos C,Derrick EJ

doi

10.1016/s0002-9378(94)70101-6

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

1081-7

issue

4

eissn

0002-9378

issn

1097-6868

pii

S0002937894000761

journal_volume

170

pub_type

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