Relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome

  • Wajeeha Syed Lady Reading Hospital
  • Nazia Liaqat Lady Reading Hospital
  • Qudsia Qazi Lady Reading Hospital
  • Sumaira Yasmin Lady Reading Hospital
Keywords: fetal distress, hypoxia, acidemia, Umbilical cord pH, Neonatal outcome

Abstract

Objectives: To determine relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome

Methods: This descriptive cross-sectional study was conducted in the department of Gynaecology, Lady Reading Hospital Peshawar, Pakistan, from January 2019 to July 2019. This study included 27 full-term pregnant women who had abnormal CTG during the active or latent phase of labour. Data were analyzed by IBM SPSS Statistics for Windows, Version 23.0.

Results: Out of 27, most patients 13 (48.14%) were in the age group 20-25 years,11 (40.74%) to 26-30 years and 3 (11.11%) belonged to 31-35 years of age group. CTG abnormalities were severe bradycardia, late deccelerations and persistent variable deccelerations with loss of baseline variability. Of all delivered babies, 21 (77%) babies had birth weight<3.5 kg and 6 (22%) had >3.5 kg birth weight. 20 (74.07%) had acidosis (pH <7.2) at the time of birth, of which one had severe hypoxemia and acidosis with pH 6.85. APGAR score at 0 minutes showed a strong positive correlation (r=0.818, p= <0.001) with cord pH, while APGAR at five minutes was also strongly correlated (r= 773, p=<0.001). Of all babies 18(66.66%) with PH less than 7.2 were admitted in NICU while only 2 babies with PH more than 7.2 were admitted. (p value= 0.005).

Conclusion: Low umbilical cord pH values of babies born by cesarean section (for fetal distress) are strongly correlated with low APGAR score at birth and higher rates of NICU admission.

doi: https://doi.org/10.12669/pjms.36.7.2536

How to cite this:
Syed W, Liaqat N, Qazi Q, Yasmeen S. Relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome. Pak J Med Sci. 2020;36(7):1529-1532. doi: https://doi.org/10.12669/pjms.36.7.2536

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Wajeeha Syed, Lady Reading Hospital

Assistant Professor,Gynae department

Nazia Liaqat, Lady Reading Hospital

Assistant Professor,Gynae department

Qudsia Qazi, Lady Reading Hospital

Assistant professor,Gynae department

Sumaira Yasmin, Lady Reading Hospital

Assistant professor,Gynae department

Published
2020-10-17
How to Cite
Syed, W., Liaqat, N., Qazi, Q., & Yasmin, S. (2020). Relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome. Pakistan Journal of Medical Sciences, 36(7). https://doi.org/10.12669/pjms.36.7.2536
Section
Original Articles