The effect of placental isolation on umbilical artery blood gas measurements.

Leung, Wynne I; Lyndon, Charlene A · Am J Obstet Gynecol · 2007

prospective_cohort · Level II

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Abstract

We conducted a study to determine whether the pH and base excess of umbilical artery blood samples are significantly different when taken from a double-clamped segment of umbilical cord as compared with a nonisolated segment of umbilical cord. A prospective study with 43 singleton pregnancies was conducted. Matched pair samples of umbilical arterial blood were compared from double-clamped and nonisolated segments. The means for pH and base excess were compared and a paired t test was used to determine significance. The means for pH and base excess were not significantly different (P = .70) between the 2 groups. Double clamping the umbilical cord before obtaining an umbilical artery sample is not necessary for accurate blood gas results.

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