Document Detail


The neonate with unexpected acidemia.
MedLine Citation:
PMID:  8169937     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We attempted to determine the etiology and clinical significance of unexpected acidemia in otherwise healthy neonates. A retrospective review was performed of the umbilical cord pH in 11,203 deliveries performed at Denver General Hospital, with an umbilical artery pH < 7.13 (3 SD below the mean) selected as the definition of neonatal acidemia. Among those neonates weighing > 2.5 kg with umbilical artery pH < 7.13, 76 were expected to have acidemia because of signs of severe fetal distress. There were 59 neonates with unexpected acidemia, having umbilical artery pH < 7.13, with no definite etiology found. In 96% of cases of unexpected acidemia, the neonates were discharged with their mothers, while 84% of the expected cases went home with their mothers. In excess of $880,000 was spent performing routine umbilical blood pH determinations without any apparent clinical or legal benefit. Routine umbilical blood gas studies on all neonates does not appear to be indicated for either clinical or legal reasons.
Authors:
R C Goodlin; W L Freedman; J G McFee; S D Winter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  39     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-06-01     Completed Date:  1994-06-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  97-100     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Denver General Hospital, University of Colorado Medical School.
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MeSH Terms
Descriptor/Qualifier:
Acidosis / blood*,  diagnosis
Blood Gas Analysis
Diagnostic Tests, Routine / economics
Fetal Blood / chemistry*
Humans
Hydrogen-Ion Concentration
Infant, Newborn
Retrospective Studies
Umbilical Arteries / physiology

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


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