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001-es BibID:	BIBFORM072241
Első szerző:	Tsikouras, Panagioti
Cím:	Predictive value of fetal scalp pH and base excess for fetal acidosis and poor neonatal outcome / Tsikouras Panagiotis, Koukouli Zacharoula, Niesigk Barbara, Manav Bachar, Farmakides George, Csorba Roland, Galazios Georgios, Teichmann Alexander Tobias
Dátum:	2018
ISSN:	1476-7058 1476-4954
Megjegyzések:	Objective: The objective of this study is to assess retrospectively the predictive value of fetal scalp pH and base excess (BE) for fetal acidosis and poor neonatal outcome in term, low-risk, spontaneous deliveries with suspicious or pathological intrapartum cardiotocography (CTG) tracings. Methods: Umbilical artery pH and BE values obtained immediately after delivery and Apgar score were the outcomes under consideration. Statistics included receiver-operating characteristic curve (ROC) and multiple logistic regression analysis. Results: Four hundred and six deliveries were included in the study. Scalp pH?<?7.20 predicted umbilical pH ?7.1 with 64.3% sensitivity and 92.9% specificity (p?<?.001). The corresponding positive-predictive value (PPV) was 24.3% and the negative-predictive value (NPV) was 98.6%. Scalp BE????7?mmol/l (a cut-off value provided by ROC curve analysis) predicted Apgar score???7 at 5?min with 61.9% sensitivity and 91.7% specificity (p?<?.001). The corresponding PPV and NPV were 29.5 and 97.7%, respectively. Neither scalp pH nor BE was significantly associated with umbilical BE values. Infants with intrapartum BE????7?mmol/l were 30 times on an average more likely to get a low Apgar score, independently of intrapartum pH values. Conclusion: Our study supports the consideration of both scalp pH and BE values, when fetal blood sampling (FBS) is used.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	The Journal of Maternal-Fetal & Neonatal Medicine. - 31 : 23 (2018), p. 3166-3171. -
További szerzők:	Koukouli, Zacharoula Niesigk, Barbara Manav, Bachar Farmakides, George Csorba Roland (1972-) (szülész-nőgyógyász, gyermeknőgyógyász) Galazios, Georgios Teichmann, Alexander
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