Umbilical Cord Blood Gases and Neonatal Respiratory Outcome Among Premature Infants Born at

Download or read book Umbilical Cord Blood Gases and Neonatal Respiratory Outcome Among Premature Infants Born at written by Irene Odom and published by . This book was released on 2013 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rationale : Our objective was to define the relationship between umbilical cord blood gases and neonatal respiratory outcomes among very premature infants /= 30 weeks gestational age (GA). We hypothesized that those premature infants, defined as /= 30 weeks GA, with early blood gas values of lower pH, paO2 and higher paCO2 values will have prolonged NICU stays with a greater need for respiratory support. Methods : An electronic database and chart review was conducted of all babies born at /= 30 weeks GA at Scripps Hospital (approximately 30 patients) between 2006-2009. Data collection included: first umbilical cord blood gases, maternal history, pregnancy, labor, delivery and NICU outcome parameters. Statistical methods included fisher exact test, chi square analysis and correlation analysis, as appropriate. Significance was defined as p value 0.05. Results : A lower initial birth paO2 (/=40mmHg) was found more often among C/S infants (13 vs 9, p=0.047, n=26). Among the infants excluded from the initial 30 infants, 2 were excluded from paO2 analysis (but were included in other analyses) due to supplemental oxygen administration and 2 infants did not have first cord blood gases done. Among the infants studied, those with an O2 requirement of