Document Detail


Evaluation of arterial oxygen saturation in pregnant patients and their newborns.
MedLine Citation:
PMID:  3347419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Continuous oxygen saturation measurements were obtained in 103 pregnant patients and 96 of their newborns by a pulse oximeter during the peripartum period. The parturients received narcotic sedation; epidural, spinal, or general anesthesia; or no analgesia. Seventy-nine patients had oxygen saturation levels over 90% (mean 97.6%), and 24 had one or more oxygen saturation levels less than or equal to 90% (mean 95.6%, P = .001). For all neonates, the mean oxygen saturation was in the "hypoxic range" at one minute (77.6 +/- 11.48%), five minutes (84.4 +/- 7.64%), and ten minutes (89.4 +/- 6.29%). More desaturation episodes were noted in mothers exposed to a central nervous system depressant (P = .041). When mothers with and without desaturation events were compared, no differences were found for age, parity, race, hematocrit, smoking, hypotensive episodes, or delivery route. More maternal desaturation episodes occurred during transport (P = .0016) and while in the recovery room (P = .0003) than in other study periods. Maternal peripartum desaturation events occurred without adverse neonatal effect when prompt treatment was provided. Neonatal hemoglobin oxygen saturation less than or equal to 90% is commonly found within ten minutes after birth and does not always merit the designation of "hypoxia."
Authors:
K B Porter; R Goldhamer; A Mankad; K Peevy; J Gaddy; J A Spinnato
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  71     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1988-04-15     Completed Date:  1988-04-15     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  354-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of South Alabama Medical Center, Mobile.
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MeSH Terms
Descriptor/Qualifier:
Analgesics / pharmacology
Anesthetics / pharmacology
Arteries
Blood Gas Monitoring, Transcutaneous / instrumentation
Female
Humans
Hypnotics and Sedatives / pharmacology
Infant, Newborn / blood*
Oxygen / blood*
Pregnancy / blood*
Reference Values
Chemical
Reg. No./Substance:
0/Analgesics; 0/Anesthetics; 0/Hypnotics and Sedatives; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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