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Original Article
Online Published: 23 Sep 2023
 


Effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcome

Fawaz Eldirdiri Satti Mohamed, Samah Butayhan Mohammed Alatawi, Zainab Abdrabalredh Busaleh, Fatima Moosa Shamtoot, Saad Khaleel Alonze, Alhanoof Adil Almohana, Thamer khalil Alonizi, Samer Khalil M. AlAnazi.


Abstract
Objective: This study aimed to assess the effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcomes.
Methods: A descriptive cross-sectional study was conducted in the Department of Gynecology at King Saud Medical City from March 2022 to July 2023. Around 47 full-term expected women who experienced abnormal cardiotocography during the active or latent stages of labor were included in this study.
Results: Around 29 women (61.7%) of the total participants were primigravida, while others were gravida 2 (14.8%), gravida 4 (8.5%), and gravida 7 (2.1%), with significant fetal bradycardia. Cesarean delivery was necessary in 17% of instances, with late decelerations occurring in 37 (78.7%) and persistent varied decelerations with loss of baseline variability occurring in 2 (4.2%) cases. The correlation between the umbilical cord pH and the appearance, pulse, grimace, activity, and respiration (APGAR) score at 0 minutes was highly significant (r= 0.821, p = 0.001), and the correlation between the umbilical cord pH and the APGAR score at 5 minutes was also highly significant (r = 783, p = 0.001).
Conclusion: The most accurate way to diagnose birth asphyxia is by measuring the pH of the cord blood, which should be done in all high-risk deliveries. Doing so might assist in the prevention or lessening of neonatal morbidity and mortality by ensuring that the newborn receives proper care upon delivery.

Key words: Birth asphyxia, umbilical cord blood gas analysis, neonatal morbidity, APGAR score, high-risk deliveries.


 
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How to Cite this Article
Pubmed Style

Mohamed FES, Alatawi SBM, Busaleh ZA, Shamtoot FM, Alonze SK, Almohana AA, Alonizi Tk, AlAnazi SKM. Effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcome. IJMDC. 2023; 7(11): 1481-1484. doi:10.24911/IJMDC.51-1690782334

Web Style

Mohamed FES, Alatawi SBM, Busaleh ZA, Shamtoot FM, Alonze SK, Almohana AA, Alonizi Tk, AlAnazi SKM. Effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcome. https://www.ijmdc.com/?mno=163110 [Access: September 29, 2024]. doi:10.24911/IJMDC.51-1690782334

AMA (American Medical Association) Style

Mohamed FES, Alatawi SBM, Busaleh ZA, Shamtoot FM, Alonze SK, Almohana AA, Alonizi Tk, AlAnazi SKM. Effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcome. IJMDC. 2023; 7(11): 1481-1484. doi:10.24911/IJMDC.51-1690782334


Vancouver/ICMJE Style

Mohamed FES, Alatawi SBM, Busaleh ZA, Shamtoot FM, Alonze SK, Almohana AA, Alonizi Tk, AlAnazi SKM. Effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcome. IJMDC. (2023), [cited September 29, 2024]; 7(11): 1481-1484. doi:10.24911/IJMDC.51-1690782334


Harvard Style

Mohamed, F. E. S., Alatawi, . S. B. M., Busaleh, . Z. A., Shamtoot, . F. M., Alonze, . S. K., Almohana, . A. A., Alonizi, . T. k. & AlAnazi, . S. K. M. (2023) Effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcome. IJMDC, 7 (11), 1481-1484. doi:10.24911/IJMDC.51-1690782334


Turabian Style

Mohamed, Fawaz Eldirdiri Satti, Samah Butayhan Mohammed Alatawi, Zainab Abdrabalredh Busaleh, Fatima Moosa Shamtoot, Saad Khaleel Alonze, Alhanoof Adil Almohana, Thamer khalil Alonizi, and Samer Khalil M. AlAnazi. 2023. Effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcome. International Journal of Medicine in Developing Countries, 7 (11), 1481-1484. doi:10.24911/IJMDC.51-1690782334


Chicago Style

Mohamed, Fawaz Eldirdiri Satti, Samah Butayhan Mohammed Alatawi, Zainab Abdrabalredh Busaleh, Fatima Moosa Shamtoot, Saad Khaleel Alonze, Alhanoof Adil Almohana, Thamer khalil Alonizi, and Samer Khalil M. AlAnazi. "Effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcome." International Journal of Medicine in Developing Countries 7 (2023), 1481-1484. doi:10.24911/IJMDC.51-1690782334


MLA (The Modern Language Association) Style

Mohamed, Fawaz Eldirdiri Satti, Samah Butayhan Mohammed Alatawi, Zainab Abdrabalredh Busaleh, Fatima Moosa Shamtoot, Saad Khaleel Alonze, Alhanoof Adil Almohana, Thamer khalil Alonizi, and Samer Khalil M. AlAnazi. "Effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcome." International Journal of Medicine in Developing Countries 7.11 (2023), 1481-1484. Print. doi:10.24911/IJMDC.51-1690782334


APA (American Psychological Association) Style

Mohamed, F. E. S., Alatawi, . S. B. M., Busaleh, . Z. A., Shamtoot, . F. M., Alonze, . S. K., Almohana, . A. A., Alonizi, . T. k. & AlAnazi, . S. K. M. (2023) Effect of immediate postpartum umbilical cord pH on fetal discomfort and neonatal outcome. International Journal of Medicine in Developing Countries, 7 (11), 1481-1484. doi:10.24911/IJMDC.51-1690782334




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