American Journal of Obstetrics & Gynecology
Volume 170, Issue 6 , Pages 1705-1712 , June 1994

Determination of fetal acidemia at birth from a remote umbilical arterial blood gas analysis

Annual Central Prize Award, presented at the Sixty-first Annual Meeting of The Central Association of Obstetricians and Gynecologists, White Sulphur Springs, West Virginia, October 28-30, 1993.

References 

  1. American College of Obstetricians and Gynecologists . Assessment of fetal and newborn acid-base status. Washington: American College of Obstetricians and Gynecologists; 1989; technical bulletin no 127
  2. Johnson JW, Richard DS, Wagaman RA. The case for routine umbilical blood acid-base studies at delivery. AM J OBSTET GYNECOL. 1990;162:621–625
  3. Thorp JA, Sampson JE, Parisi VM, Creasy RK. Routine umbilical arterial cord blood gas determination?. AM J OBSTET GYNECOL. 1989;161:600–605
  4. Goodwin TM, Belai I, Hernandez P, Durand M, Paul RH. Asphyxial complications in the term newborn with severe umbilical acidemia. AM J OBSTET GYNECOL. 1992;162:1506–1512
  5. Goldaber KG, Gilstrap LC, Leveno KJ, Dax JS, McIntire DD. Pathological fetal acidemia. Obstet Gynecol. 1991;78:1103–1107
  6. Sykes GS, Johnson P, Ashworth F, et al.  Do Apgar scores indicate asphyxia?. Lancet. 1982;1:494–496
  7. Duerbeck NB, Chaffin DG, Seeds JW. A practical approach to umbilical artery pH and blood gas determinations. Obstet Gynecol. 1992;79:959–962
  8. Chauhan SP, Rutherford SE, Sharp TW, Carnevale TA, Runzel AR. Intrapartum amniotic fluid index and neonatal acidosis: a pilot study to determine the correlation. J Reprod Med. 1992;37:868–870
  9. Neter J, Wasserman W, Kutner MH. Applied linear statistical models. Homewood, Illinois: Richard D Irwin; 1990;
  10. Shapiro BA, Harrison RA, Cane RD, Kozlowski-Templin R. Clinical application of blood gases. Chicago: Year Book; 1989;
  11. Winkler CL, Hauth JC, Tucker JM, Owen J, Brumfield CG. Neonatal complications at term as related to the degree of umbilical artery acidemia. AM J OBSTET GYNECOL. 1991;164:637–641
  12. Fee SC, Malee K, Deddish R, Minogue JP, Socol ML. Severe acidosis and subsequent neuralgic status. AM J OBSTET GYNECOL. 1991;164:637–641
  13. Gilstrap LC, Leveno KJ, Buris J, Williams ML, Little BB. Diagnosis of birth asphyxia on the basis of fetal pH, Apgar score, and newborn cerebral dysfunction. AM J OBSTET GYNECOL. 1989;161:825–830
  14. Duerbeck NB, Chiffin DE, Seeds JW. A practical approach to umbilical artery pH and blood gas determination. Obstet Gynecol. 1992;79:959–962
  15. Strickland DM, Gilstrap LC, Hauth JC, et al.  Umbilical cord pH and PCO2: effect of interval from delivery to determination. AM J OBSTET GYNECOL. 1984;142:191–193

☆ From the Department of Obstetrics and Gynecologya and the Division of Biostatistics, Department of Preventive Medicine,b University of Mississippi Medical Center.

☆☆ Supported in part by the Vicksburg Hospital Medical Foundation.

★ Reprint requests: Suneet P. Chauhan, MD, Department of Obstetrics and Gynecology, University of Illinois College of Medicine at Peoria, One Illini Dr., Box 1649, Peoria, IL 61656.

★★ 0002-9378/94 $3.00 + 0 6/6/55187

PII: S0002-9378(94)70345-0

doi: 10.1016/S0002-9378(94)70345-0

American Journal of Obstetrics & Gynecology
Volume 170, Issue 6 , Pages 1705-1712 , June 1994

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