The problem with all of this is that the low apgars and low cord blood gasses don’t really help much.  There are babies that have terrible results and grow up fine and babies who’s results are only slightly low who have developmental problems.  MM

 


From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Briege Lagan
Sent: Friday, 13 October 2006 5:12 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] cord blood gases

 

Naomi

In units where I work within Northern Ireland, cord blood gases are only done if

 

·         Emergency caesarean section is performed

·         Instrumental vaginal delivery is performed

·         A fetal blood sample has been performed in labour

·         Birth, if the baby’s condition at birth is poor

 

These are the recommendations from

 

The Use of Electronic Fetal Monitoring. National Institute for Clinical

Excellence. May 2001

 

 

Other articles which may be of interest to you are:

 

The merit of routine cord blood pH measurement at birth

 

Umbilical cord pH and risk factors for acidaemia in neonates in  Kerman

 

Umbilical cord blood sampling and expert data care

 

Hope this helps

Briege

 

Briege Lagan

PhD Student/Clinical Midwife Specialist 
University of Ulster

Northern Ireland



Naomi Wilkin <[EMAIL PROTECTED]> wrote:

 

 

 

Hi all,
Just wondering how common it is for cord blood gases to be done in
maternity units. I work in a small metro. hospital with a very busy
maternity unit and our medical 'powers that be' are pushing for them
to be done at every birth. Something we, the midwives, are very,
very reluctant to do.
I was also wondering if anyone knows of any research that may help us
to prevent this from becoming a routine thing.

Thanks
Naomi.


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