Abstract
Blood gas analysis of a fetus can represent the fetal condition in utero and sometime help the obstetrician to decide on the mode of delivery. It can be assessed antepartum, intrapartum, or postpartum via a number of ways. Umbilical cord blood gas analysis is routinely ordered by obstetricians at the time of delivery if there is suspicion of neonatal depression in utero. In 2006, the American Congress of Obstetricians and Gynecologists (ACOG) have recommended cord blood gas for certain conditions. It reflects the fetal condition immediately before delivery and is a more objective indication of a newborn’s condition than the Apgar score. According to ACOG task force, umbilical blood gas analysis has become a useful tool to predict neonatal morbidity.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Miller RD, Pardo MC Jr. Basics of anesthesia. 6th ed. Philadelphia: Elsevier Saunders; 2011.
Morgan GE, Mikhail MS, Murray MJ. Clinical anesthesiology. 4th ed. New York: McGraw-Hill; 2006.
Chestnut DH, et al. Chestnut’s obstetric anesthesia: principles and practice. 4th ed. Philadelphia: Mosby; 2009.
Victory R, Penava D, Da Silva O, et al. Umbilical cord pH and base excess values in relation to adverse outcome events for infants delivering at term. Am J Obstet Gynecol. 2004;191:2021.
American College of Obstetricians and Gynecologists (ACOG) and American Academy of Pediatrics (AAP). Neonatal encephalopathy and neurologic outcome. 2nd ed. Washington, DC: ACOG; 2014.
Low JA, Lindsay BG, Derrick EJ. Threshold of metabolic acidosis associated with newborn complications. Am J Obstet Gynecol. 1997;177:1391.
Wiberg N, Källén K, Olofsson P. Base deficit estimation in umbilical cord blood is influenced by gestational age, choice of fetal fluid compartment, and algorithm for calculation. Am J Obstet Gynecol. 2006;195:1651.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Shah, T. (2017). Blood Gas: Fetal. In: Raj, T. (eds) Data Interpretation in Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-55862-2_42
Download citation
DOI: https://doi.org/10.1007/978-3-319-55862-2_42
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-55861-5
Online ISBN: 978-3-319-55862-2
eBook Packages: MedicineMedicine (R0)