Document Detail


Cord blood acid-base status at delivery after successful external cephalic version.
MedLine Citation:
PMID:  15059154     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study was designed to evaluate whether cord blood acidosis is more likely in infants born after successful external cephalic version. METHODS: This retrospective cohort study included 89 singleton deliveries with successful version performed over a 2-year period. Their cord blood acid-base parameters were compared to 89 pregnancies with spontaneous cephalic presentation (control group). RESULTS: There was no significant difference between the version and control groups in birthweight and Apgar scores. There was no difference between the version and control groups in cord arterial pH (7.26 vs. 7.26), arterial pCO(2) (7.04 vs. 7.09 kPa), arterial pO(2) (2.34 vs. 2.59 kPa), arterial base excess (-5.59 vs. -5.64 mmol/L), venous pH (7.32 vs. 7.33), venous pCO(2) (5.73 vs. 5.63 kPa), venous pO(2) (3.86 vs. 3.84 kPa), or venous base excess (-5.03 vs. -5.12 mmol/L). There was also no significant difference in the number of fetuses with cord arterial pH <7.20 between the two groups. CONCLUSION: Neonates delivered after successful external cephalic version are not more likely to be born with acidosis. Our study provides further support for the safety of external cephalic version for term breech pregnancies.
Authors:
Louis Yik-Si Chan; Tak Yeung Leung; Wing Yee Fok; Lin Wai Chan; Tze Kin Lau
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  83     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-04-02     Completed Date:  2004-05-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  436-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong. lyschan@cuhk.edu.hk
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MeSH Terms
Descriptor/Qualifier:
Acidosis / metabolism*
Adult
Breech Presentation*
Cohort Studies
Female
Fetal Blood / metabolism*
Hong Kong / epidemiology
Humans
Hydrogen-Ion Concentration
Medical Records
Pregnancy
Retrospective Studies
Version, Fetal / statistics & numerical data*

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