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The parameters of acid-base composition and concentration of blood glucose in the vessels of the umbilical cord with chronic hypoxia of fetus after operative delivery

Abstract

Background. To estimate the level of fetal hypoxia during labor and differentiation from other pathology, used the indicators detection of acid-base condition of the umbilical cord blood. Methods. A total 67 newborns of 65 women who were delivered with planned caesarean section: 42 of them are healthy full-term, 17 premature newborns and 8 premature newborns with hypoxic state. Results. Clinically significant for the diagnosis of acidosis in fetus chronic hypoxia in umbilical arterial blood pH were 7.2, lack of buffer bases (standard - - 4.5 mmol/l, true - -7 mmol/l) and the level of standard bicarbonate 17 mmol /l. Critical figures of glucose and lactate concentrations were 2.9 mmol/l, 4 mmol/ l and concentration of glucose to lactate were 1.17. Conclusions. The clinical severity of newborns at the acid-base condition of blood umbilical artery parameters definitive for mild metabolic acidosis, can be explained with low concentration of glucose and the absence of substrate for the formation of organic acids.

About the Author

E. N. Lukanskaya
Belarusian Medical Academy of Postgraduate Education
Russian Federation


References

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For citations:


Lukanskaya E.N. The parameters of acid-base composition and concentration of blood glucose in the vessels of the umbilical cord with chronic hypoxia of fetus after operative delivery. Pacific Medical Journal. 2014;(4):67-71. (In Russ.)

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ISSN 1609-1175 (Print)