Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 7, Issue 1 (3-2018)
J Emerg Health Care 2018, 7(1): 75-82 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Zohouri D, Zarei S, Tavallaei A. The Effect of Delivery Type on the Indices of Term Newborn Infants’ Umbilical Vein Blood Gas. J Emerg Health Care 2018; 7 (1) :75-82
URL: http://intjmi.com/article-1-305-en.html
URL: http://intjmi.com/article-1-305-en.html
Shiraz University Of Medical Sciences, International Branch, Shiraz, Iran.
Abstract: (9876 Views)
Introduction: Caesarean section (also known as C-section or caesarean delivery) has undergone an enormous increase over the recent decades, particularly in Iran where the rate of C-section is five times larger than that of the global standards. Moreover, according to several studies, there is the possibility that caesarean delivery can affect umbilical vein blood gas. Accordingly, the present study was conducted aiming to examine the impact of delivery type on the indices of term newborn infants’ umbilical vein blood gas. Methods: The present cross-sectional study explored a total of 222 newborn infants born in Shahid Motahari Hospital, Marvdasht, Iran in 2015 based on three delivery-type groups, namely, natural delivery, general anesthesia-used caesarean and spinal anesthesia-used caesarean. Of all the infants, an amount of 0.5cc umbilical vein blood was taken and then examined in terms of blood gases. The two groups were compared with each other with regard to 1st and 5th minutes’ Apgar score, anesthesia duration as well as its influence on blood gases. The data was then analyzed using SPSS software. Findings: Mean and standard deviation values for Apgar score in natural delivery at the beginning of birth equaled 8.8 ± 0.59, suggesting a significant difference between natural delivery and other caesarean groups (P= 0.01). It should be noted that no significant difference was reported in infants’ umbilical vein blood in the two groups in terms of pH (P=0.08), PO2 (P=0.79) and PCO2 (P= 0.85). Likewise, there was a significant difference in umbilical base excess of natural delivery and caesarean groups (P=0.03). Conclusion: Based on the research results, compared to infants in caesarean groups, those born naturally enjoy higher Apgar score and base excess.
References
1. 1.Taffel SM, Placek PJ, Liss T. Trends in the United States cesarean section rate and reasons for the 1980-85 rise. Am J Pub Heal 1987;77:955-9.2.WHO statement on caesarean section rates.wwwwhoint/entity/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/ -33k. (accessed 05.02.2016).3.Faramarzi M, Bakhtiari, A, Nazari, T. The study on prevalence and causes of cesarean section in Babol. JBUMS 2000;2:53-6.4.Miri Farahani L, Abbasi Shavazi MJ. Caesarean Section change trends in Iran and some demographic factors associated with them in the past three decades. J Fasa Uni Med Sci 2012;2:127-34.5.Nikpour M, Abedian Z, Mokhber N, Ebrahimzadeh S, Khani S. Comparison of Quality of life in women after vaginal delivery and cesarean section. 2011;13(1):44-50.6.Asnafi N, Hajian, K, Hesari, H. Causes and complications of emergency cesarean-section in Yahyanejad Hospital, Babol, 1999. JBUMS. 2002;4:16-9.7.Reynolds F. The effects of maternal labour analgesia on the fetus. Best Prac Res Clin Obst Gynecol 2010;24:289-302.8.Raafati S, Borna H, Tehrani FHE, Nodoshan MJ, Mozafari M, Eslami M. Neonatal apgar scores and umbilical blood gas changes in vaginal delivery and cesarean: a comparative study. Tehran Uni Med J (TUMJ) 2006;64:61-8.9.Blickstein I, Green T. Umbilical cord blood gases. Clin Perinatol 2007;34:451-9.10.Westgate J, Garibaldi JM, Greene KR. Umbilical cord blood gas analysis at delivery: a time for quality data. Int J Obst Gynaecol. 1994;101:1054-63.11.Thorp JA, Rushing RS. Umbilical cord blood gas analysis. Obst Gynecol Clin North Am 1999;26:695-709.12.Kaveh M, Davari F, Farahani M. Apgar score and arterial blood gas in the first hour of birth in neonates. Iran J Ped 2004;14(1):27-32.13.Anyaegbunam A, Fleischer A, Whitty J, Brustman L, Randolph G, Langer O. Association between umbilical artery cord pH, five-minute Apgar scores and neonatal outcome. Gynecol Obst Invest 1991;32:220-3.14.Thavarasah A, Lobo R. The value of maternal and fetal blood gas analysis in cesarean sections under general anesthesia. Biol Res Preg Perinatol 1986;8(2 2D Half):76-83.15.Kwon JY, Yoon WS, Lee GSR, Kim SJ, Shin JC, Park IY. Umbilical arterial blood gas and perinatal outcome in the second twin according to the planned mode of delivery. International journal of medical sciences. 2011;8(8):643.16.Harrington DJ, Redman CW, Moulden M, Greenwood CE. The long-term outcome in survivinginfants with Apgar zero at 10 minutes: a systematic review of the literature and hospital-based cohort. American journal of obstetrics and gynecology. 2007;196(5):463. e1-. e5.17.Pence S, Kocoglu H, Balat O, Balat A. The effect of delivery on umbilical arterial cord blood gases and lipid peroxides: comparison of vaginal delivery and cesarean section. Clinical and experimental obstetrics & gynecology. 2001;29(3):212-4.18.Modarressnejad V. Umbilical cord blood pH and risk factors for acidaemia inneonates in Kerman. EMRO J. 2005;13(1):127-31.19.Pomerance J. Umbilical cord blood gases casebook. Interpreting umbilical cord blood gases, VII. Journal of perinatology: official journal of the California Perinatal Association. 2000;20(5):338.20.Dickinson JE,Eriksen NL, Meyer BA, Parisi VM. The effect of preterm birth on umbilical cord blood gases. Obstetrics & Gynecology. 2012;79(4):575-8.21.Wood C, Hing Ng K, Hounslow D, Benning H. Time—an important variable in normal delivery. Int J Obst Gynaecol. 2009;80(4):295-300.
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |