| The neonate with unexpected acidemia. | |
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MedLine Citation:
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PMID: 8169937 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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R C Goodlin; W L Freedman; J G McFee; S D Winter |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 39 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 1994 Feb |
Date Detail:
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Created Date: 1994-06-01 Completed Date: 1994-06-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 97-100 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Denver General Hospital, University of Colorado Medical School. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acidosis
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blood*,
diagnosis Blood Gas Analysis Diagnostic Tests, Routine / economics Fetal Blood / chemistry* Humans Hydrogen-Ion Concentration Infant, Newborn Retrospective Studies Umbilical Arteries / physiology |
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