Premium
Oxygen saturation of healthy term neonates during the first 30 minutes of life
Author(s) -
Beşkardeş Ayşegül,
Salihoğlu Özgül,
Can Emrah,
Atalay Deniz,
Akyol Bedir,
Hatipoğlu Sami
Publication year - 2013
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.2012.03731.x
Subject(s) - medicine , anesthesia , cord , oxygen saturation , umbilical cord , oxygen , surgery , anatomy , chemistry , organic chemistry
Background The purpose of this study was to document the oxygen saturation ( SpO 2 ), general physical signs and laboratory characteristics during the first 30 min of life. Methods Forty healthy singleton full‐term neonates delivered vaginally ( n = 33) or by cesarean section ( n = 7) were included in this prospective observational study. After delivery, the SpO 2 levels of the upper (right hand; ‘preductal’) and lower (dorsum of the right foot; ‘postductal’) extremities of the neonates lying on the servo‐controlled radiant heater in the delivery room were measured simultaneously with oximeter probes ( O xiprobe BM ‐270) placed at 1, 5, 10, 15, 20, 25, and 30 min. The correlation between pre‐ and postductal SpO 2 level and different variables (vital signs, capillary refill time recorded at 1 and 15 min, cord pH and hemoglobin values, and Apgar scores at 1 and 5 min) was examined. Results The 1 min pre‐ and postductal SpO 2 were 82.3 ± 7.34% and 79.08 ± 8.16% ( P > 0.05), respectively. The preductal values at 5, 10, and 15 min were statistically higher than the postductal values (89.73 ± 6.01%, 93.43 ± 4.06%, and 94.53 ± 3.19% vs 85.53 ± 6.92%, 89.9 ± 4.91%, 92.83 ± 3.92%, respectively). SpO 2 was the same regardless of the mode of delivery. No correlations were found between pre‐ and postductal SpO 2 and other variables. Conclusions Oxygen saturation was not affected by mode of delivery, was independent of A pgar score, cord hemoglobin, cord pH , vital signs, and capillary refill time in the first few minutes of life, and did not reach 90% in the first 5 min of life in healthy full‐term neonates.