Umbilical cord blood gas analysis at the time of delivery

Midwifery
M HarrisK R Greene

Abstract

it is now recommended that cord blood acid-base measurement is performed routinely at time of delivery in the UK as a measure of fetal response to labour. However, there remains some uncertainty about the value of this procedure. In this paper our experience of cord blood analysis is described and the literature is reviewed to: (1) provide an overview of the physiological basis of cord blood acid-base assessment; (2) describe the appropriate methodology and identify issues which have contributed to confusion and undermined the value of cord blood sampling; and (3) address the practical issues of cord blood sampling. cord blood acid-base measurement has a sound physiological basis. It provides objective information which is a useful adjunct to subjective methods of newborn assessment, enables babies at risk of neonatal morbidity to be identified, can be helpful in litigation cases and is a prerequisite for clinical audit. However, to be of benefit the information must be correct and correctly interpreted.

References

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Citations

Oct 13, 1999·Artificial Intelligence in Medicine·J M GaribaldiE C Ifeachor
Dec 1, 2014·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Ingela WiklundGunnar Sjörs
Sep 11, 2012·Gynécologie, obstétrique & fertilité·D ErnstO Dupuis
Dec 2, 2014·Obstetrics and Gynecology·Jessica CantuAlan T N Tita
Mar 12, 2016·Journal of Perinatal Medicine·Christopher R H WhiteCraig E Pennell
Apr 26, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·C R H WhiteC E Pennell
Oct 12, 2013·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Christopher R H WhiteCraig E Pennell
Mar 5, 2013·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Christopher R H WhiteCraig E Pennell
Feb 19, 2021·Journal of Perinatal Medicine·Kyosuke KamijoSatoshi Ohira

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