Determination of Foetal Scalp Blood Sampling pH as an Indicator of Loss of Foetal Well-Being in Women Undergoing Caesarean Section
Asphyxia during birth is one of the three leading causes of neonatal morbidity and mortality among newborns carried to term. The objective of this study was to evaluate the measurement of the foetal scalp blood pH as a measure of foetal status, evaluating: cord gases, meconium-stained fluid, APGAR s...
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| Format: | info:eu-repo/semantics/article |
| Language: | English |
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MDPI
2023
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| Online Access: | http://hdl.handle.net/10835/14410 |
| _version_ | 1789408389862785024 |
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| author | Alarcón Rodríguez, Raquel Martín-Álvarez, María Paz García González, Jessica Requena Mullor, María Del Mar Rodríguez-García, Mª Carmen Zheng, Ruirui Romero Del Rey, Raul |
| author_facet | Alarcón Rodríguez, Raquel Martín-Álvarez, María Paz García González, Jessica Requena Mullor, María Del Mar Rodríguez-García, Mª Carmen Zheng, Ruirui Romero Del Rey, Raul |
| author_sort | Alarcón Rodríguez, Raquel |
| collection | DSpace |
| description | Asphyxia during birth is one of the three leading causes of neonatal morbidity and mortality among newborns carried to term. The objective of this study was to evaluate the measurement of the foetal scalp blood pH as a measure of foetal status, evaluating: cord gases, meconium-stained fluid, APGAR score or the need for neonatal resuscitation in pregnant women undergoing caesarean sections. A cross-sectional study was carried out over a period of 5 years (2017–2021) at the Hospital de Poniente (southern Spain). A total of 127 pregnant women participated from whom a foetal scalp blood pH sample was taken and used to indicate the need for an urgent caesarean section. The results showed a correlation between the pH of the scalp blood and the pH of the umbilical cord artery, umbilical cord vein (Rho of Spearman arterial pH: 0.64, p < 0.001; Rho of Spearman venous pH: 0.58, p < 0.001) and the APGAR test one minute after delivery (Spearman’s Rho coefficient of 0.33, p < 0.01). These results suggest that the foetal scalp pH should not be considered a foolproof method to indicate an urgent caesarean section. Foetal scalp pH sampling can be used as a complementary test, in conjunction with cardiotocography, to indicate whether an emergency caesarean section is necessary due to loss of foetal well-being. |
| format | info:eu-repo/semantics/article |
| id | oai:repositorio.ual.es:10835-14410 |
| institution | Universidad de Cuenca |
| language | English |
| publishDate | 2023 |
| publisher | MDPI |
| record_format | dspace |
| spelling | oai:repositorio.ual.es:10835-144102023-04-12T19:18:25Z Determination of Foetal Scalp Blood Sampling pH as an Indicator of Loss of Foetal Well-Being in Women Undergoing Caesarean Section Alarcón Rodríguez, Raquel Martín-Álvarez, María Paz García González, Jessica Requena Mullor, María Del Mar Rodríguez-García, Mª Carmen Zheng, Ruirui Romero Del Rey, Raul caesarean section foetal distress academia hypoxia APGAR score blood gas analysis Asphyxia during birth is one of the three leading causes of neonatal morbidity and mortality among newborns carried to term. The objective of this study was to evaluate the measurement of the foetal scalp blood pH as a measure of foetal status, evaluating: cord gases, meconium-stained fluid, APGAR score or the need for neonatal resuscitation in pregnant women undergoing caesarean sections. A cross-sectional study was carried out over a period of 5 years (2017–2021) at the Hospital de Poniente (southern Spain). A total of 127 pregnant women participated from whom a foetal scalp blood pH sample was taken and used to indicate the need for an urgent caesarean section. The results showed a correlation between the pH of the scalp blood and the pH of the umbilical cord artery, umbilical cord vein (Rho of Spearman arterial pH: 0.64, p < 0.001; Rho of Spearman venous pH: 0.58, p < 0.001) and the APGAR test one minute after delivery (Spearman’s Rho coefficient of 0.33, p < 0.01). These results suggest that the foetal scalp pH should not be considered a foolproof method to indicate an urgent caesarean section. Foetal scalp pH sampling can be used as a complementary test, in conjunction with cardiotocography, to indicate whether an emergency caesarean section is necessary due to loss of foetal well-being. 2023-03-09T13:57:55Z 2023-03-09T13:57:55Z 2023-03-02 info:eu-repo/semantics/article 2227-9032 http://hdl.handle.net/10835/14410 10.3390/healthcare11050725 en https://www.mdpi.com/2227-9032/11/5/725 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess MDPI |
| spellingShingle | caesarean section foetal distress academia hypoxia APGAR score blood gas analysis Alarcón Rodríguez, Raquel Martín-Álvarez, María Paz García González, Jessica Requena Mullor, María Del Mar Rodríguez-García, Mª Carmen Zheng, Ruirui Romero Del Rey, Raul Determination of Foetal Scalp Blood Sampling pH as an Indicator of Loss of Foetal Well-Being in Women Undergoing Caesarean Section |
| title | Determination of Foetal Scalp Blood Sampling pH as an Indicator of Loss of Foetal Well-Being in Women Undergoing Caesarean Section |
| title_full | Determination of Foetal Scalp Blood Sampling pH as an Indicator of Loss of Foetal Well-Being in Women Undergoing Caesarean Section |
| title_fullStr | Determination of Foetal Scalp Blood Sampling pH as an Indicator of Loss of Foetal Well-Being in Women Undergoing Caesarean Section |
| title_full_unstemmed | Determination of Foetal Scalp Blood Sampling pH as an Indicator of Loss of Foetal Well-Being in Women Undergoing Caesarean Section |
| title_short | Determination of Foetal Scalp Blood Sampling pH as an Indicator of Loss of Foetal Well-Being in Women Undergoing Caesarean Section |
| title_sort | determination of foetal scalp blood sampling ph as an indicator of loss of foetal well-being in women undergoing caesarean section |
| topic | caesarean section foetal distress academia hypoxia APGAR score blood gas analysis |
| url | http://hdl.handle.net/10835/14410 |
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