ASSOCIATION BETWEEN NEONATAL ICU ADMISSION AND LOW CORD BLOOD PH
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Keywords
Apgar Score, Low Cord Blood pH, Neonate, NICU admission
Abstract
Objective: The assessment of umbilical cord arterial blood provides the foundation for current clinical practice when evaluating a neonate's status. Therefore, the present study aimed to determine the association between neonatal ICU admission and low cord blood pH.
Methodology: This was a Prospective cohort study conducted in the Department of Obstetrics & Gynecology, Liaquat National Hospital and Medical College, Karachi from 1st July 2023 to 31st December 2023 (six months). Detailed history, physical examination, and anthropometric and biochemical measurements were recorded. Patients were followed postoperatively for adverse outcomes.
Results: A total of 60 participants, 30 from each group were evaluated. Out of 30 neonates in the unexposed group (pH >7.2) only three were admitted to NICU, the rest of the 27 were not admitted to NICU. However, in the exposed group (pH <7.2) out of 30 neonates 10 were admitted to NICU. Mothers aged between 26 – 30 years from the Exposed Group (Acidotic cord pH) have shown a significant relationship with nine of their infants admitted to NICU (p-value = 0.078).
Conclusion: There is a strong association between Neonatal ICU admission and low cord blood pH. This showed that cord blood pH samples can be used to inform clinical management and it is one of the important tools to justify neonatal morbidity and mortality.
References
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Sajida Akram
Department of Obstetrics & Gynecology, Liaquat National Hospital and Medical College, Karachi, Pakistan
Qurat ul Aman
Department of Obstetrics & Gynecology, Liaquat National Hospital and Medical College, Karachi, Pakistan
Paras
Department of Obstetrics & Gynecology, Liaquat National Hospital and Medical College, Karachi, Pakistan
Rabia Farooqi
Department of Obstetrics & Gynecology, Liaquat National Hospital and Medical College, Karachi, Pakistan
Sarim Muhammad Yousuf
MBBS, Liaquat National Hospital and Medical College, Karachi, Pakistan