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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 4, April 2023

Study of Relationship between Postpartum Umbilical Cord Blood Ph and Neonatal Outcome in Patients Undergoing Emergency Caesarean Section for Fetal Distress

Dr. Jayashree Mulik | Dr. Devika Bhivgade

Abstract: Background: In recent years, Caesarean section rates are increased and most common indication being fetal distress. Fetal distress basically occurs due to fetal hypoxemia because of various reasons either maternal or fetal. Thus, to know the immediate outcome of baby delivered through caesarean section, umbilical cord blood pH has emerged out to be the best indicator of fetal hypoxemia and to give the prognosis of baby delivered. Method: In our study, we included low risk 103 singleton term pregnant patients who Underwent Emergency Caesarean Section for Fetal Distress diagnosed clinically. Blood collection was performed following delivery by caesarean section, from immediately isolated segment (10 to 20 cm) of cord and sent for pH analysis. Result: A total of 72 (69.9%) neonates had a normal Umbilical cord blood pH (>7.2), while 31 (30.1%) neonates had acidosis (ph <7.2) of which 3 (2.9%) had severe acidosis (pH<7). Out of 103 neonates, 34 (33%) neonates required NICU admission and 4 (3.88%) neonates succumed. Conclusion: Low umbilical cord blood pH values of babies born by caesarean section (for fetal distress) strongly correlated with low APGAR score at birth and higher rates of NICU admission.

Keywords: Fetal Distress, Hypoxemia, Acidosis, Umbilical cord blood pH, NICU admission

Edition: Volume 12 Issue 4, April 2023,

Pages: 1063 - 1066