頁籤選單縮合
題 名 | Fetal Acidosis from Obstetric Interventions during the First Vaginal Delivery |
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作 者 | Su, Chi-feng; Tsai, Horng-jyh; Huang, Che-cheng; Luo, Kan-hung; Lin, Long-yau; | 書刊名 | Taiwanese Journal of Obstetrics & Gynecology |
卷 期 | 47:4 2008.12[民97.12] |
頁 次 | 頁397-401 |
分類號 | 417. 417.412 |
關鍵詞 | Fetal acidosis; First vaginal delivery; Low cord arterial pH; Obstetric interventions; Umbilical blood gas analysis; |
語 文 | 英文(English) |
英文摘要 | Objective: The aim of this study was to analyze the blood gas values of umbilical cord blood in newborns of first vaginal deliveries with or without obstetric interventions. Materials and Methods: In a prospective descriptive study conducted during the 6-month period from August 2003 through February 2004 at a university hospital, we analyzed the umbilical cord blood gas results of 80 term newborns delivered vaginally from healthy nulliparous women. Multivariate logistic analysis was used to evaluate the associations between fetal acidosis (pH<7.20) and any obstetric interventions. Results: The mean of umbilical cord blood arterial pH was 7.26 (standard deviation, 0.072). After controlling for the confounding factors with multivariate logistic regression, fetal acidosis (pH<7.20) was found to be significantly associated with oxytocin augmentation (odds ratio [OR], 16.48; 95% confidence interval [CI], 1.21-226.1) and vacuum extraction (OR, 10.76; 95% CI, 1.025-112.9). In contrast, there was no significant relationship between fetal acidosis with episiotomy (OR, 1.096; 95% CI, 0.07-16.6) or epidural anesthesia (OR, 0.074; 95% CI, 0.003-2.09). Conclusion: Oxytocin augmentation and vacuum extraction were significantly related to low cord arterial pH values (pH<7.20), but there were no adverse effects to the newborns of first vaginal deliveries. |
本系統中英文摘要資訊取自各篇刊載內容。