Effect of Oxygen vs Room Air on Intrauterine Fetal Resuscitation
Author(s) -
Nandini Raghuraman,
Leping Wan,
Lorene A. Temming,
Candice Woolfolk,
George A. Macones,
Methodius G. Tuuli,
Alison G. Cahill
Publication year - 2018
Publication title -
jama pediatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.004
H-Index - 183
eISSN - 2168-6211
pISSN - 2168-6203
DOI - 10.1001/jamapediatrics.2018.1208
Subject(s) - medicine , umbilical artery , gestational age , neonatal resuscitation , cardiotocography , fetus , metabolic acidosis , hypoxemia , randomized controlled trial , obstetrics , resuscitation , gestation , room air distribution , pregnancy , anesthesia , surgery , genetics , physics , biology , thermodynamics
Two-thirds of women in labor receive supplemental oxygen to reverse perceived fetal hypoxemia and prevent acidemia. Oxygen is routinely administered for category II fetal heart tracings, a class of fetal tracing used to designate intermediate risk for acidemia. This liberal use of oxygen may not be beneficial, particularly because neonatal hyperoxygenation is harmful.
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