This study was conducted to assess the role of maternal oxygen
administration during the second stage of labor on umbilical cord blood gas
values. This study was done in Fatemieh hospital on 160 pregnant women
who were admitted for vaginal delivery and had the inclusion criteria.
A group of 80 women with term pregnancy were administrered oxygen
during the second stage of labor and another group of 80 women with
term pregnancy acted as control (Randomized clinical trial). Umbilical cord
blood gas values were measured immediately after birth. Apgar score and
duration of oxygen administration of two groups were documented. Blood
gas values , apgar score , duration of oxygen therapy , duration of second
stage of labor also were recorded.
In the case group: The umbilical artery pH value was 7.25 (7.06-7.38) and
umbilical vein pH was > 7.31 (7.13-7.45). Umbilical artery pH in the control
group was 7.28 (7.08-7.96) and umbilical vein pH was 7.31 (7.02-7.44). There
was no statistically difference between means of umbilical cord blood gas
values of the groups (case and control , P>0.05). There was perfect negative
correlation between umbilical cord blood gas values and duration of
oxygen administration (P<0.001 , r =-0.5).
In fact oxygen administration in second stage of labor has not any
effect on cord blood gas analysis , provided that no clinical evidence of
danger for mother or fetus present. Besides prolonged oxygen
administration can cause decrease in arterial pH.
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