Impact of the duration of labor in the neonatal state measured by arterial blood gas at birth

Background: The duration of labor has become a central axis of its clinical management, most of the studies that analyze its relationship with the neonatal state focus on indirect tests such as the Apgar test or admissions to the NICU. The aim of the study was to analyze the repercussions of the dur...

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Autores: Mayol-Perez, ML, Hernandez-Garre, JM, Echevarria-Perez, P
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Recursos:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p10971
Acesso em linha:https://fisabio.portalinvestigacion.com/publicaciones/10971
Access Level:acceso abierto
Palavra-chave:Newborn
Neonatal assessment
Suffocation
Acidosis
Umbilical artery gasometry
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spelling Impact of the duration of labor in the neonatal state measured by arterial blood gas at birthMayol-Perez, MLHernandez-Garre, JMEchevarria-Perez, PNewbornNeonatal assessmentSuffocationAcidosisUmbilical artery gasometryBackground: The duration of labor has become a central axis of its clinical management, most of the studies that analyze its relationship with the neonatal state focus on indirect tests such as the Apgar test or admissions to the NICU. The aim of the study was to analyze the repercussions of the duration of labor on the condition of the neonates without added risk factors through a direct analysis test such as the umbilical artery blood gas test at birth. Methods: An observational, analytical, retrospective, and prevalence study was conducted on a sample of 286 infants no previous risk factors obtained from the computerized clinical registry. For a confidence level of p<0.05, parametric tests such as Pearson's correlation coefficient and Chi-square were applied. Results: Showed a significant negative correlation between umbilical artery pH values and delivery times (Dilation: R=-0.207; p=0.002 - Expulsive: R=-0.150; p=0.027 - Total delivery: R=-0.181; p=0.006). Presenting deliveries with times above the mean greater possibilities of fetal acidosis and hypercapnia in dilation (pH: OR=3.10; IC 1.64-5.51 pCO2: OR=2.19; IC 1.23-3.89), the expulsive (pH: OR=2.24; IC 1.21-4.16 - pCO2: OR=1.77; IC 0.98-3.22) and the total duration (pH: OR=3.36, IC 1.846.13- pCO2: OR=2.53; IC 1.44-4.46). Conclusions: A significant association is was found between the prolongation of labor times and acidosis and neonatal hypercapnia.MINISTERIO DE SANIDAD Y CONSUMO2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/10971Revista Espanola de Salud PublicaISSN: 11355727ISSNe: 21739110reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Españolinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p109712026-06-11T12:45:17Z
dc.title.none.fl_str_mv Impact of the duration of labor in the neonatal state measured by arterial blood gas at birth
title Impact of the duration of labor in the neonatal state measured by arterial blood gas at birth
spellingShingle Impact of the duration of labor in the neonatal state measured by arterial blood gas at birth
Mayol-Perez, ML
Newborn
Neonatal assessment
Suffocation
Acidosis
Umbilical artery gasometry
title_short Impact of the duration of labor in the neonatal state measured by arterial blood gas at birth
title_full Impact of the duration of labor in the neonatal state measured by arterial blood gas at birth
title_fullStr Impact of the duration of labor in the neonatal state measured by arterial blood gas at birth
title_full_unstemmed Impact of the duration of labor in the neonatal state measured by arterial blood gas at birth
title_sort Impact of the duration of labor in the neonatal state measured by arterial blood gas at birth
dc.creator.none.fl_str_mv Mayol-Perez, ML
Hernandez-Garre, JM
Echevarria-Perez, P
author Mayol-Perez, ML
author_facet Mayol-Perez, ML
Hernandez-Garre, JM
Echevarria-Perez, P
author_role author
author2 Hernandez-Garre, JM
Echevarria-Perez, P
author2_role author
author
dc.subject.none.fl_str_mv Newborn
Neonatal assessment
Suffocation
Acidosis
Umbilical artery gasometry
topic Newborn
Neonatal assessment
Suffocation
Acidosis
Umbilical artery gasometry
description Background: The duration of labor has become a central axis of its clinical management, most of the studies that analyze its relationship with the neonatal state focus on indirect tests such as the Apgar test or admissions to the NICU. The aim of the study was to analyze the repercussions of the duration of labor on the condition of the neonates without added risk factors through a direct analysis test such as the umbilical artery blood gas test at birth. Methods: An observational, analytical, retrospective, and prevalence study was conducted on a sample of 286 infants no previous risk factors obtained from the computerized clinical registry. For a confidence level of p<0.05, parametric tests such as Pearson's correlation coefficient and Chi-square were applied. Results: Showed a significant negative correlation between umbilical artery pH values and delivery times (Dilation: R=-0.207; p=0.002 - Expulsive: R=-0.150; p=0.027 - Total delivery: R=-0.181; p=0.006). Presenting deliveries with times above the mean greater possibilities of fetal acidosis and hypercapnia in dilation (pH: OR=3.10; IC 1.64-5.51 pCO2: OR=2.19; IC 1.23-3.89), the expulsive (pH: OR=2.24; IC 1.21-4.16 - pCO2: OR=1.77; IC 0.98-3.22) and the total duration (pH: OR=3.36, IC 1.846.13- pCO2: OR=2.53; IC 1.44-4.46). Conclusions: A significant association is was found between the prolongation of labor times and acidosis and neonatal hypercapnia.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/10971
url https://fisabio.portalinvestigacion.com/publicaciones/10971
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MINISTERIO DE SANIDAD Y CONSUMO
publisher.none.fl_str_mv MINISTERIO DE SANIDAD Y CONSUMO
dc.source.none.fl_str_mv Revista Espanola de Salud Publica
ISSN: 11355727
ISSNe: 21739110
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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