@article{Syed_Liaqat_Qazi_Yasmin_2020, title={Relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome}, volume={36}, url={https://pjms.org.pk/index.php/pjms/article/view/2536}, DOI={10.12669/pjms.36.7.2536}, abstractNote={<p><em><strong>Objectives:</strong></em> To determine relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome</p> <p><em><strong>Methods:</strong></em> 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.</p> <p><em><strong>Results:</strong></em> 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&lt;3.5 kg and 6 (22%) had &gt;3.5 kg birth weight. 20 (74.07%) had acidosis (pH &lt;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= &lt;0.001) with cord pH, while APGAR at five minutes was also strongly correlated (r= 773, p=&lt;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).</p> <p><em><strong>Conclusion:</strong> </em>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.</p> <p><strong>doi: https://doi.org/10.12669/pjms.36.7.2536</strong></p> <p><em><strong>How to cite this:</strong></em><br>Syed W, Liaqat N, Qazi Q, Yasmeen S. Relationship between immediate postpartum umbilical cord&nbsp;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</p> <p>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.</p&gt;}, number={7}, journal={Pakistan Journal of Medical Sciences}, author={Syed, Wajeeha and Liaqat, Nazia and Qazi, Qudsia and Yasmin, Sumaira}, year={2020}, month={Oct.} }